Myocardial infarction as a mask for catecholamine-induced cardiomyopathy against the background of pheochromocytoma

Pheochromocytoma (PC) is a tumor of chromaffin cells the sympathetic-adrenal system that produces large amount catecholamines (adrenaline, norepinephrine, dopamine). There are no reliable data in literature on frequency cardiac manifestations pheochromocytoma, which associated with rarity this pathology. This case demonstrates development catecholamine-induced cardiomyopathy, proceeding under guise heart attack, as primary manifestation pheochromocytoma. The patient was referred diagnosis «Ischemic disease, myocardial infarction» to perform coronary angiography, according result study, pathology arteries detected. In process additional examination, pheochromocytoma left adrenal gland revealed. initial changes electrocardiogram, echocardiographic and laboratory parameters regressed, confirmed cardiomyopathy developed against background Currently, there an increasing information about non-ischemic damage patients These form clinical (pain behind sternum, shortness breath, various types arrhythmias) well non-specific ECG data, disturbances local kinetics decrease global contractility without stenotic artery were called cardiomyopathy.