We present the case of a 17-year-old male paraganglioma patient who presented in shock to our emergency department. During workup, an inverted Takotsubo pattern cardiomyopathy was identified. Treatment consisted of blocking catecholamine synthesis as well as supportive care with inotropic medication and high flow nasal cannula oxygen administration. The case is described in detail and the phenomenon of inverted type Takotsubo cardiomyopathy is discussed.
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