Reversible cardiogenic shock due to catecholamine-induced cardiomyopathy: A variant of takotsubo?

Catherine Law, Asma Khaliq, Maya Guglin

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Catecholamine-induced cardiomyopathy, including takotsubo, neurogenic stunned myocardium, and pheochromocytoma-related cardiomyopathy, is a reversible and generally benign condition. We are reporting a case series of young women who had cardiogenic shock and pulmonary edema due to severe left ventricular systolic dysfunction, which completely recovered in the course of 2 to 3 weeks. Both patients had high catecholamine levels, due to pheochromocytoma in the first case and due to intravenous high-dose catecholamines in the second case. We suggest that screening for pheochromocytoma should be considered in patients who present with takotsubo cardiomyopathy without obvious cause. Most importantly, widely used intravenous catecholamines may cause severe transient left ventricular dysfunction, and consideration should be given to noncatecholamine vasopressors.

Original languageEnglish (US)
Pages (from-to)1621.e1-1621.e3
JournalAmerican Journal of Emergency Medicine
Issue number11
StatePublished - Nov 2013
Externally publishedYes

ASJC Scopus subject areas

  • Emergency Medicine


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