Acute coronary syndrome leading to a new diagnosis of phaeochromocytoma following a profound intraprocedural hypertensive surge
| Autor: | Kevin Carson, John Graby, Zi Wei Goh, Naik Haya |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
Surgical resection Blood pressure control Adult Male medicine.medical_specialty Acute coronary syndrome Adrenal disorder Adrenal Gland Neoplasms Case Report Pheochromocytoma 030105 genetics & heredity Coronary angiogram Coronary Angiography New diagnosis 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Pressure monitoring Acute Coronary Syndrome business.industry General Medicine medicine.disease Male patient Hypertension Cardiology business 030217 neurology & neurosurgery |
| Zdroj: | BMJ Case Rep |
| Popis: | Phaeochromocytomas are rare neuroendocrine tumours, which can significantly increase the risk of cardiovascular morbidity and mortality. They are also recognised as ‘the great mimic’ and can present in many ways. A 42-year-old male patient presented with a non-ST elevation acute coronary syndrome and was medically treated pending an invasive coronary angiogram. During this procedure, he suffered a profound, symptomatic hypertensive surge documented with invasive pressure monitoring. This raised concern for potential secondary causes of hypertension, particularly given his age. He was subsequently diagnosed with a phaeochromocytoma, and after surgical resection of the tumour, his blood pressure control improved and he remains on single therapy only. As clinicians, it is important to remain alert for previously undiagnosed comorbidities contributing to common pathology, including rare, but life-threatening conditions as we present in this case. |
| Databáze: | OpenAIRE |
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