| Autor: |
Kaye, Joey, Edlin, Stephen, Thompson, Ivan, Leedman, Peter |
| Zdroj: |
Endocrine (1355008X); 2001, Vol. 15 Issue 2, p203-204, 2p |
| Abstrakt: |
ute cardiogenic pulmonary edema as the first presentation of phenochromocytoma is uncommon and usually rapidly fatal. A 39-yr-old man presented in acute cardiogenic shock with global ventricular dysfunction that required high-dose iv inotrope support and an intraaortic balloon pump assist device. Abdominal imaging to exclude aortic dissection revealed a 6-cm right adrenal mass. Significant myocardial infarction (electrocardiographic changes and elevated cardiac enzymes) contributied to the cardiac decompensation. After with drawal of inotrope support, 24-h urinary catecholamine levels revealed 2155 nmol/d (<125) of adrenaline and 7437 nmol/d (<560) of norad-renaline, confirming a pheochromocytoma. The tumor was successfully removed at laparotomy; however, the patient's course was complicated by a thromboembolic cerebrovascular accident with paraplegia. He recovered cardiac function almost completely within 3 wk of medical therapy alone. Although uncommon, this case highlights the need to consider pheochromocytoma early in the management of unexplained cardiogenic shock. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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