{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T04:05:02Z","timestamp":1758945902794,"version":"3.37.3"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2020,3,16]],"date-time":"2020-03-16T00:00:00Z","timestamp":1584316800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Takotsubo syndrome (TS) is characterized by a transient left ventricular (LV) dysfunction and rarely presents with cardiogenic shock (CS). Inverted TS (ITS) is a rare entity associated with the presence of a pheochromocytoma.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We present a case of a young woman was admitted to the emergency department due to intense headache, chest discomfort, palpitations, and breathlessness. An ITS secondary to a pheochromocytoma crisis presenting with CS was diagnosed. The patient was managed with veno-arterial extracorporeal membrane oxygenation, until recovery of LV function. On the 35th day of hospitalization, open bilateral adrenalectomy was performed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Takotsubo syndrome patients presenting with CS are challenging and clinicians should be aware of underlying causes. Specific triggers such as pheochromocytoma should systematically be considered particularly if ITS was presented. Extracorporeal life support devices could provide temporary mechanical circulatory support in patients with TS on refractory CS and help to manage complex cases with TS due to pheochromocytoma.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa055","type":"journal-article","created":{"date-parts":[[2020,3,16]],"date-time":"2020-03-16T16:38:54Z","timestamp":1584376734000},"page":"1-5","source":"Crossref","is-referenced-by-count":4,"title":["Inverted takotsubo syndrome complicated with cardiogenic shock requiring veno-arterial extracorporeal membrane oxygenation in a patient with bilateral pheochromocytoma: a case report"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3638-593X","authenticated-orcid":false,"given":"Bebiana Manuela Monteiro","family":"Faria","sequence":"first","affiliation":[{"name":"Cardiology Department, Hospital Senhora da Oliveira\u2014Guimar\u00e3es, Rua dos Cutileiros, n11, 44853-044 Guimar\u00e3es, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1375-9334","authenticated-orcid":false,"given":"Jo\u00e3o","family":"Portugu\u00eas","sequence":"first","affiliation":[{"name":"Cardiology Department, Hospital Senhora da Oliveira\u2014Guimar\u00e3es, Rua dos Cutileiros, n11, 44853-044 Guimar\u00e3es, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2966-2943","authenticated-orcid":false,"given":"Roberto","family":"Roncon-Albuquerque Jr","sequence":"first","affiliation":[{"name":"Intensive Care Unit, Centro Hospitalar de S\u00e3o Jo\u00e3o, Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3436-7348","authenticated-orcid":false,"given":"Rodrigo","family":"Pimentel","sequence":"first","affiliation":[{"name":"Intensive Care Unit, Centro Hospitalar de S\u00e3o Jo\u00e3o, Porto, Portugal"}]}],"member":"286","published-online":{"date-parts":[[2020,3,16]]},"reference":[{"key":"2020042405560886500_ytaa055-B1","doi-asserted-by":"crossref","first-page":"2032","DOI":"10.1093\/eurheartj\/ehy076","article-title":"International Expert Consensus Document on Takotsubo Syndrome (Part I): clinical characteristics, diagnostic criteria, and pathophysiology","volume":"39","author":"Ghadri","year":"2018","journal-title":"Eur Heart J"},{"key":"2020042405560886500_ytaa055-B2","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1186\/1752-1947-7-84","article-title":"Reverse takotsubo cardiomyopathy: two case reports and review of the literature","volume":"7","author":"Patankar","year":"2013","journal-title":"J Med Case Rep"},{"key":"2020042405560886500_ytaa055-B3","first-page":"8767801","article-title":"Pheochromocytoma, \u201cthe Great Masquerader,\u201d presenting as severe acute decompensated heart failure in a young patient","volume":"2018","author":"Reyes","year":"2018","journal-title":"Case Rep Cardiol"},{"key":"2020042405560886500_ytaa055-B4","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2014-208683","article-title":"Transient cardiogenic shock during a crisis of pheochromocytoma triggered by high-dose exogenous corticosteroids","author":"Ibrahim","year":"2015","journal-title":"BMJ Case Rep"},{"key":"2020042405560886500_ytaa055-B5","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1186\/s13613-016-0219-4","article-title":"Extracorporeal membrane oxygenation for pheochromocytoma-induced cardiogenic shock","volume":"6","author":"Hekimian","year":"2016","journal-title":"Ann Intensive Care"},{"key":"2020042405560886500_ytaa055-B6","doi-asserted-by":"crossref","first-page":"s8","DOI":"10.1016\/j.ihj.2015.07.018","article-title":"Inverted Takotsubo cardiomyopathy: a rare entity often missed!","volume":"68","author":"Banerjee","year":"2016","journal-title":"Indian Heart 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shock","volume":"122","author":"Bellumkonda","year":"2018","journal-title":"AmJCardiol"},{"key":"2020042405560886500_ytaa055-B10","doi-asserted-by":"crossref","first-page":"14673","DOI":"10.1038\/s41598-017-15327-3","article-title":"Incidence and prognostic relevance of cardiopulmonary failure in takotsubo cardiomyopathy","volume":"7","author":"El-Battrawy","year":"2017","journal-title":"Sci Rep"}],"container-title":["European Heart Journal - Case 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Minguito","family":"Carazo","sequence":"additional","affiliation":[]},{"given":"Peregrine","family":"Green","sequence":"additional","affiliation":[]}],"short-title":[],"issued":{"date-parts":[[2020,3,16]]},"references-count":10,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,3,16]]},"published-print":{"date-parts":[[2020,6,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytaa055","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2020,6]]},"published":{"date-parts":[[2020,3,16]]}}}