Coronary emergency and diabetes as manifestations of pheochromocytoma

We report on a woman with refractory hypertension and diabetes suffering from hypertensive crises, one with chest pain suggesting acute coronary syndrome, and another with an abdominal pain, after which a para-aortic abdominal mass was diagnosed, by ultrasound, as pheochromocytoma, later confirmed b...

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Bibliographic Details
Published in:International journal of cardiology 2010, Vol.139 (3), p.e39-e41
Main Authors: Martin, José F V, Martin, Luciana N C, Yugar-Toledo, Juan C, Loureiro, Afonso A C, Cury, Patrícia M, Júnior, Heitor M
Format: Report
Language:English
Online Access:Get full text
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Summary:We report on a woman with refractory hypertension and diabetes suffering from hypertensive crises, one with chest pain suggesting acute coronary syndrome, and another with an abdominal pain, after which a para-aortic abdominal mass was diagnosed, by ultrasound, as pheochromocytoma, later confirmed by an adrenal scintigraphic study with (131)I-labeled metaiodobenzylguanidine. The patient was successfully treated with complete reversal of hypertension and diabetes. Our case illustrates the importance of maintaining a high index of suspicion in patients simultaneously presenting with an acute myocardial event and hypertensive crises.
ISSN:1874-1754
DOI:10.1016/j.ijcard.2008.11.025