Bidirectional Ventricular Tachycardia due to Pheochromocytoma: A Case Report

IF 1.1 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Annals of Noninvasive Electrocardiology Pub Date : 2025-03-12 DOI:10.1111/anec.70063
Gui-yang Li, Man-Xin Lin, Fa-Guang Zhou, Qiang Li
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Abstract

Pheochromocytoma, a type of neuroendocrine tumor, can cause numerous symptoms and signs similar to those of other clinical conditions, with the classic triad being palpitations, headache, and diaphoresis. Patients with pheochromocytoma can present with various cardiac complications, including myocarditis, acute coronary syndromes, cardiomyopathy, heart failure, and arrhythmias. Here we report a case of pheochromocytoma that first presented with bidirectional ventricular tachycardia. The patient was initially diagnosed with acute viral myocarditis and was treated accordingly. A pheochromocytoma crisis with severe blood pressure fluctuation occurred after glucocorticoid administration, leading to further diagnostic work-up, which eventually revealed the adrenal pheochromocytoma.

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嗜铬细胞瘤所致双向室性心动过速1例
嗜铬细胞瘤是一种神经内分泌肿瘤,可引起与其他临床疾病相似的许多症状和体征,典型的三联征是心悸、头痛和出汗。嗜铬细胞瘤患者可出现各种心脏并发症,包括心肌炎、急性冠状动脉综合征、心肌病、心力衰竭和心律失常。这里我们报告一个嗜铬细胞瘤的病例,首先表现为双向室性心动过速。患者最初被诊断为急性病毒性心肌炎并接受相应治疗。糖皮质激素治疗后出现严重血压波动的嗜铬细胞瘤危象,导致进一步的诊断检查,最终发现肾上腺嗜铬细胞瘤。
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来源期刊
CiteScore
3.40
自引率
0.00%
发文量
88
审稿时长
6-12 weeks
期刊介绍: The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation. ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.
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