Pheochromocytoma presenting as an acute coronary syndrome complicated by acute heart failure: The challenge of a great mimic

详细信息    查看全文

• 作者：Giuseppe Damiano Sanna^a ; ^{giuseppedasanna@tiscali.it" class="auth_mail" title="E-mail the corresponding author} ; Giuseppe Talanas^a ; Giuseppina Fiore^a ; Antonella Canu^a ; Pierfranco Terrosu^a
• 关键词：Acute coronary syndrome ; Arterial hypertension ; Heart failure ; Pheochromocytoma
• 刊名：Journal of the Saudi Heart Association
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：28
• 期：4
• 页码：278-282
• 全文大小：1434 K

文摘

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.