我们报告了一个不寻常的临床病例，一个39岁的女性因心绞痛伴随高血压危象被送进心脏病科。该患者出现了严重的胸痛和高血压，同时还有2型糖尿病、高脂血症、吸烟和高血压病史。初步的检测显示肌钙蛋白T、血糖、C反应蛋白和D-二聚体水平升高，心电图和经胸超声检查显示急性心肌梗塞的异常，但冠状动脉造影并未显示任何明显的冠状动脉阻塞。进一步的检测和影像学研究导致了应激性心肌病综合征（TTS）和嗜铬细胞瘤的怀疑，这在后续的活检中得到了确认。这个病例非常罕见，因为TTS和嗜铬细胞瘤的共存并不常见，这是由于肿瘤的罕见性。快速准确地进行诊断非常重要，因为未经适当治疗的病例可能会导致死亡。版权所有 © 2023 The Author(s). Wolters Kluwer Health, Inc. 出版。

We present an unusual clinical case of a 39-year-old woman admitted to the Department of Cardiology due to stenocardial pain accompanied by hypertensive crisis. The patient presented with severe chest pain and high blood pressure, along with a history of type 2 diabetes, hyperlipidemia, smoking, and hypertension. Initial tests showed elevated troponin T, glucose, CRP, and D-dimer levels, and electrocardiography and transthoracic echocardiography showed abnormalities suggesting acute myocardial infarction, but angiography did not reveal any significant coronary artery blockages. Further tests and imaging led to a diagnosis of takotsubo syndrome (TTS) and suspicion of pheochromocytoma, which was confirmed later biopsy. The presented case is very rare because the coexistence of TTS and pheochromocytoma is not common due to the rarity of the tumor. It is very important to make a quick and accurate diagnosis, because improperly treated cases can lead to death.Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.