Document Detail


Pheochromocytoma mimicking an acute myocardial infarction.
MedLine Citation:
PMID:  17923879     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
We report a 42-year-old female who presented with retrosternal pain, dyspnoea and nausea. Electrocardiography suggested a recent anterior myocardial infarction. However, emergency coronary angiography showed normal blood flow through all the coronary arteries. Paroxysmal hypertension raised the suspicion of a pheochromocytoma. Indeed, abdominal ultrasonography and computed tomography revealed a mass in the left adrenal gland. Elevated levels of plasma and urine catecholamines supported the diagnosis of pheochromocytoma. Left adrenalectomy was performed without complications and pathological examination revealed a 5.5 cm pheochromocytoma. After surgery, all antihypertensive medication was discontinued and the blood pressure returned to normal within several days. Currently, the patient is asymptomatic, has normal catecholamine levels and the electrocardiographic signs of ischaemia have resolved entirely. This case illustrates that a rare clinical entity such as pheochromocytoma should be considered in the differential diagnosis of acute coronary syndrome. (Neth Heart J 2007;15:248-51.).
Authors:
C W Menke-van der Houven van Oordt; Th B Twickler; F G M H van Asperdt; P Ackermans; H J L M Timmers; A R R M Hermus
Related Documents :
10650539 - Cardiac exposure history as a determinant of symptoms and emergency department utilizat...
20194879 - High-sensitivity troponin t concentrations in acute chest pain patients evaluated with ...
3759429 - Perforation of the esophagus electrocardiographically mimicking myocardial infarction.
12439379 - Acute coronary syndrome in a young woman.
7977989 - Cardiac enzymes are irrelevant in the patient with suspected myocardial contusion.
23844349 - Where are we now with decompressive hemicraniectomy for malignant middle cerebral arter...
15987619 - Facilitated percutaneous coronary intervention: is this strategy ready for implementation?
1041579 - Emotional response and clinical severity as early determinants of six-month mortality a...
20930959 - A review of the mechanisms of ventricular arrhythmia in brugada syndrome.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation     Volume:  15     ISSN:  1568-5888     ISO Abbreviation:  Neth Heart J     Publication Date:  2007  
Date Detail:
Created Date:  2007-10-09     Completed Date:  2011-07-14     Revised Date:  2013-05-23    
Medline Journal Info:
Nlm Unique ID:  101095458     Medline TA:  Neth Heart J     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  248-51     Citation Subset:  -    
Affiliation:
Department of Endocrinology, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Comments/Corrections

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


Previous Document:  Tea and coffee drinking and ovarian cancer risk: results from the Netherlands Cohort Study and a met...
Next Document:  Giant aneurysm of an aortocoronary venous bypass graft compressing the right ventricle.