Key result
Rare coexistence of takotsubo syndrome and pheochromocytoma presents with severe chest pain and hypertensive crises.
Why the study?
The coexistence of takotsubo syndrome and pheochromocytoma is rare and requires prompt, accurate diagnosis to prevent fatal outcomes.
Case Report (n=1)
This case highlights the rare coexistence of Takotsubo syndrome and pheochromocytoma, emphasizing the importance of accurate diagnosis in patients presenting with chest pain and hypertensive crisis.
Alerts clinicians to pheochromocytoma in takotsubo with hypertensive crises; leaves open prevalence and screening utility.
We present an unusual clinical case of a 39-year-old woman admitted to the Department of Cardiology due to stenocardial pain accompanied by hypertensive crisis. The patient presented with severe chest pain and high blood pressure, along with a history of type 2 diabetes, hyperlipidemia, smoking, and hypertension. Initial tests showed elevated troponin T, glucose, CRP, and D-dimer levels, and electrocardiography and transthoracic echocardiography showed abnormalities suggesting acute myocardial infarction, but angiography did not reveal any significant coronary artery blockages. Further tests and imaging led to a diagnosis of takotsubo syndrome (TTS) and suspicion of pheochromocytoma, which was confirmed later biopsy. The presented case is very rare because the coexistence of TTS and pheochromocytoma is not common due to the rarity of the tumor. It is very important to make a quick and accurate diagnosis, because improperly treated cases can lead to death.
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Niemiec et al. (2023) conducted a case report in Takotsubo syndrome and pheochromocytoma (n=1). A 39-year-old woman presenting with severe chest pain and hypertensive crises was diagnosed with the rare coexistence of takotsubo syndrome and pheochromocytoma.
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