Pheochromocytoma presenting as an acute coronary syndrome complicated by acute heart failure: The challenge of a great mimic
Open Access
- 10 February 2016
- journal article
- research article
- Published by Saudi Heart Association in Journal of the Saudi Heart Association
- Vol. 28 (4), 278-282
- https://doi.org/10.1016/j.jsha.2016.02.002
Abstract
Pheochromocytoma is a rare neuroendocrine tumor with a highly variable clinical presentation. The serious and potentially lethal cardiovascular complications of these tumors are related to the effects of secreted catecholamines. We describe a case of a 50-year-old woman urgently admitted to our hospital because of symptoms and clinical and instrumental findings consistent with an acute coronary syndrome complicated by acute heart failure. Urgent coronary angiography showed normal coronary arteries. During her hospital stay, the recurrence of episodes characterized by a sudden increase in blood pressure, cold sweating, and nausea allowed us to hypothesize a pheochromocytoma. The diagnosis was confirmed by elevated levels of urinary catecholamines and by the finding of a left adrenal mass on magnetic resonance imaging. The patient underwent left adrenalectomy. Therefore, the initial diagnosis was critically reappraised and reviewed as a cardiac manifestation of a pheochromocytoma during catecholaminergic crisis.Keywords
This publication has 9 references indexed in Scilit:
- Evidence That High Catecholamine Levels Produced by Pheochromocytoma May be Responsible for Tako-Tsubo CardiomyopathyThe American Journal of Cardiology, 2015
- Prevalence and Patterns of Left Ventricular Dysfunction in Patients with PheochromocytomaJournal of Cardiovascular Ultrasound, 2011
- PhaeochromocytomaThe Lancet, 2005
- Pheochromocytoma-induced segmental myocardial dysfunction mimicking an acute myocardial infarction in a patient with normal coronary arteries.2004
- Myocardial infarction resulting from nonatherosclerotic coronary artery diseasesThe American Journal of Emergency Medicine, 2003
- Histological study on the distribution of autonomic nerves in the human heartHeart and Vessels, 2003
- Cardiovascular manifestations of pheochromocytomaThe American Journal of Emergency Medicine, 2000
- Phaeochromocytoma—recent progress in its managementBritish Journal of Anaesthesia, 2000
- Secondary Hypertension in a Blood Pressure ClinicArchives of Internal Medicine, 1987