[Catecholamine-induced myocarditis in pheochromocytoma].
نویسندگان
چکیده
Pheochromocytoma is a rare tumor, usually benign, potentially lethal in case of crisis with acute release of catecholamines. The heart is a target and the clinical presentation can mimic various cardiac conditions, thus rendering diagnosis elusive. Cardiac magnetic resonance is a valuable non-invasive diagnostic tool for the evaluation of cardiomyopathies; it allows the identification of catecholamine-induced myocarditis pattern and, in some cases, it can detect the primary tumor. The definitive treatment of pheochromocytoma is surgical, while the acute crisis may require mechanical support to circulation. We here report a case of pheochromocytoma in a 25-year-old man complicated by catecholamine-induced myocarditis and heart failure.
منابع مشابه
Pheochromocytoma Presenting with Multiple Cardiovascular Manifestations
Excess concentrations of catecholamines in pheochromocytoma can cause various clinical manifestations. There are few reports of pheochromocytoma presented with stress-induced cardiomyopathy (catecholamine-induced cardiomyopathy) after mild stress and the case of pheochromocytoma associated with nonocclusive stroke is more uncommon. We report a case of pheochromocytoma manifested repeated stress...
متن کاملPheochromocytoma-Induced Acute Myocarditis
Pheochromocytoma is a neuroendocrine tumor, characterized by an excess of catecholamine production, which results in paroxysmal or sustained hypertension, even hypertensive crisis. The classic triad of pheochromocytoma is paroxysmal headache, sweating and palpitation. Myocarditis is a rare manifestation of pheochromocytoma. We report 2 middle-aged women with a long history of hypertension and h...
متن کاملPhaeochromocytoma with myocarditis managed with a-methyl-p-tyrosine
A case of bilateral phaeochromocytoma with catecholamine-induced myocarditis is described. The two operations needed allowed comparison of the use of cx-methyl-p-tyrosine alone and in conjunction with adrenergic blocks in the management of the patient. The combination of both drugs was particularly successful in the relief of symptoms and reduction of catecholamine metabolism as monitored by 4-...
متن کاملPhaeochromocytoma with myocarditis managed with alpha-methyl-p-tyrosine.
A case of bilateral phaeochromocytoma with catecholamine-induced myocarditis is described. The two operations needed allowed comparison of the use of alpha-methyl-p-tyrosine alone and in conjunction with adrenergic blocks in the management of the patient. The combination of both drugs was particularly successful in the relief of symptoms and reduction of catecholamine metabolism as monitored by...
متن کاملMagnesium sulphate and (123)I-MIBG in pheochromocytoma: Two useful techniques for a complicated disease.
Pheochromocytoma is a tumour of the chromaffin tissue. It may, through catecholamine release, have deleterious effects on myocardial structure. A 48-year-old woman with a history of hypertension and type II diabetes mellitus (ASA II) was diagnosed of pheochromocytoma-induced myocarditis, which caused severe cardiogenic shock, with an ejection fraction of 20%. Extreme blood pressure swings requi...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Giornale italiano di cardiologia
دوره 18 2 شماره
صفحات -
تاریخ انتشار 2014