Pheochromocytoma-related cardiomyopathy presenting as acute myocardial infarction: A case report.
Medicine (Baltimore)
; 100(11): e24984, 2021 Mar 19.
Article
em En
| MEDLINE
| ID: mdl-33725969
ABSTRACT
INTRODUCTION:
Pheochromocytoma (PHEO)-related cardiomyopathy is a rare condition in which release of a large amount of catecholamines leads to severe vasoconstriction, coronary vasospasm, myocardial ischemia, injury, and necrosis. Its clinical manifestations can be similar to those of acute coronary syndrome. PATIENT CONCERNS A 63-year-old woman was diagnosed with acute non-ST segment elevation myocardial infarction following chest pain for 8âhours. The results of coronary angiography were normal. The patient developed dyspnea, cough with frothy pink sputum, paroxysmal sweating, arrhythmia, and blood pressure fluctuation, and was transferred to the intensive care unit for monitoring and treatment. DIAGNOSIS PHEO, catecholamine cardiomyopathy (CICMP). INTERVENTION After monitoring the pulse index continuous cardiac output and treatment with α and ß adrenergic receptor blockers for 18âdays, laparoscopic resection of the left adrenal mass was performed.OUTCOMES:
The patient's condition improved and she was discharged 31âdays after admission. Outpatient follow-up examinations 1âmonth and 1âyear later did not show recurrence. LESSONS PHEO can cause CICMP, the manifestations of which are partly similar to those of takotsubo cardiomyopathy (TTC). Once the patient's condition stabilizes, surgery should be considered. Fluid management is necessary, and agents such as α and ß adrenergic receptor blockers should be administered.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Feocromocitoma
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Neoplasias das Glândulas Suprarrenais
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Infarto do Miocárdio sem Supradesnível do Segmento ST
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Cardiomiopatias
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article