Abstract
We read with great interest the recent paper by Mikail et al. [1] reporting the case of a 52-year-old man with pheochromocytoma who presented to the emergency room with a clinical picture mimicking Non-ST Elevation Acute Myocardial Infarction. Diagnostic work-up had revealed normal coronary arteries and a right adrenal mass with intense tracer uptake at metaiodobenzylguanidine (131I-MIBG) scintigraphy. The final diagnosis was Takotsubo-like (TTL) syndrome, with a cardiac scintigraphic pattern of severe defects at 131I-MIBG and normal perfusion at 99mTc-tetrofosmin.
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