| Day 0 | Epigastric pain after consuming Levosulpiride, followed by haematemesis |
| Day 0, 1 h | Emergency Department: pH 6.8, PaO2/FiO2 150 mmHg requiring endotracheal intubation; electrocardiogram: sinus tachycardia, ST-segment elevation in anterior and lateral leads; transthoracic echocardiography: akinesia of all middle and apical segments of the left ventricle, left ventricular ejection fraction (LVEF) 20% |
| Day 0, 2 h | Thoracic and abdominal computed tomography scan showing a mass (5 cm) of the left adrenal gland (suggestive of a pheochromocytoma) |
| Day 0, 3 h | Coronary angiography: no evidence of relevant coronary artery disease; left ventricular angiography showing apical ballooning with severe reduction in LV function (LVEF 15%) |
| Day 0, 4 h | Cardiac arrest after Labetalol administration: ventricular fibrillation, CPR, DC-shock 6×, pulseless electrical activity; implantation of Impella CP®, high dose of epinephrine intravenous (i.v.) infusion |
| Day 1 | Tapering and end of epinephrine i.v. infusion |
| Day 2 | Introduction of Doxazosine, Metoprolol, and Amlodipine |
| Day 3 | Introduction of i.v. Urapidil due to resistant hypertension |
| Day 4 | Improved LV function (LVEF 45%), removal of Impella CP® |
| Day 33 | Pheochromocytoma confirmed by significantly increased urinary concentration of metanephrine and normetanephrine |
| Day 42 | Left sided laparoscopic adrenalectomy, uncomplicated |
| Day 46 | Patient’s discharge |