Document Detail

Pheochromocytoma presenting as acute decompensated heart failure reversed with medical therapy.
MedLine Citation:
PMID:  22814979     Owner:  NLM     Status:  In-Data-Review    
A 26-year-old woman presented to hospital with acute chest pain, hypertension, tachycardia and an elevated serum creatinine. She developed respiratory distress requiring endotracheal intubation and mechanical ventilation. She progressed to multiorgan failure due to decompensated congestive heart failure. Echocardiography demonstrated global hypokinesis and an ejection fraction of <10%. Her cardiac function improved with fluid resuscitation and β blockade, and she was eventually discharged home. She was readmitted a few days later with pancreatitis after presenting with nausea, abdominal pain and hypertension. During hospitalisation she had paroxysms of headache, nausea and diaphoresis associated with hypertension and tachycardia. A CT scan of her abdomen revealed an adrenal mass and serum metanephrine studies confirmed the diagnosis of pheochromocytoma. After fluid resuscitation and sympathetic blockade her ejection fraction improved to 55%. The patient underwent an uneventful adrenalectomy and made a complete recovery.
Christopher M Mulla; Paul Ellis Marik
Related Documents :
21929509 - Abcc1 polymorphisms in anthracycline-induced cardiotoxicity in childhood acute lymphobl...
20657279 - Effect of cardiac resynchronization therapy on right ventricular function.
21909339 - Minocycline development for acute ischemic stroke.
21924809 - Aldosterone receptor antagonist use after myocardial infarction. data from the reiciam ...
20543199 - Survival in new york heart association class iv heart failure patients treated with car...
21536999 - Plasma b-type natriuretic peptide levels and recurrent arrhythmia after successful abla...
24184999 - Cardiac fibrosis and arrhythmogenesis: the road to repair is paved with perils.
6624659 - Electrocardiographic criteria for the diagnosis of anterior myocardial infarction: impo...
17126649 - Safety and efficacy of the 2.25-mm sirolimus-eluting bx velocity stent in the treatment...
Publication Detail:
Type:  Journal Article     Date:  2012-07-19
Journal Detail:
Title:  BMJ case reports     Volume:  2012     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2012  
Date Detail:
Created Date:  2012-07-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
Department of Medicine, Eastern Virginia Medical School, Norfolk, Virginia, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Successful salvage using combined radiation and ABMT for patients with recurrent CNS NGGCT following...
Next Document:  Posterior reversible encephalopathy syndrome postautologous peripheral stem cell transplantation for...