Document Detail


Bradydysrhythmia-related presyncope secondary to pheochromocytoma.
MedLine Citation:
PMID:  9350170     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pheochromocytoma endures as a life-threatening disorder. In the absence of systemic hypertension, diagnosis may be difficult. We present a 46-year-old normotensive male with a history of presyncope. One of these episodes could be documented, and revealed symptomatic bradycardia suspicious of sinus node arrest. Due to hints of an elevated sympathetic tone (Schellong test, circadian blood pressure pattern without diurnal rhythm) 24-h urinary catecholamine concentrations were measured and found increased. MIBG-scintigraphy and abdominal-computed tomography indicated the location of the pheochromocytoma. After removal of the tumour, no further episodes of presyncopes or bradydysrhythmias were observed.
Authors:
R Zweiker; M Tiemann; B Eber; M Schumacher; F M Fruhwald; R Lipp; S Lax; H Pristautz; W Klein
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of internal medicine     Volume:  242     ISSN:  0954-6820     ISO Abbreviation:  J. Intern. Med.     Publication Date:  1997 Sep 
Date Detail:
Created Date:  1997-11-18     Completed Date:  1997-11-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8904841     Medline TA:  J Intern Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  249-53     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Karl-Franzens-University of Graz, Austria.
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MeSH Terms
Descriptor/Qualifier:
Adrenal Gland Neoplasms / complications*,  diagnosis*,  pathology
Bradycardia / complications*,  etiology
Cysts
Diagnosis, Differential
Humans
Male
Middle Aged
Pheochromocytoma / complications*,  diagnosis*,  pathology
Syncope / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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