Dilated cardiomyopathy and aldosteronoma: a causal link?

Zhang, Jiyu; Jin, Can; Li, Yueliang

doi:10.1002/ehf2.12579

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…Thus far, however, PA has not been reported as a clear cause for dilated cardiomyopathy [17] or coronary arteriovenous fistulas.…”

Section: Discussionmentioning

confidence: 98%

“…• In patients with PA and chronic hypokalemia, the correction of serum potassium levels might be associated with transient T-wave inversion on the ECG. • PA should be excluded as a potential cause of dilated cardiomyopathy, because evidence suggests that there may be a probable causal relationship between dilated cardiomyopathy and PA [17]. • The clinical practice guidelines for case detection, diagnosis, and treatment of PA are an essential part of quality medical practice, though the flexibility in diagnostic and therapeutic decision-making is sometimes the only alternative available, such as during the CoViD-19 pandemic crisis.…”

Section: Discussionmentioning

confidence: 99%

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Primary aldosteronism and coronary-pulmonary artery fistula: coincidence or causal link? A case report and literature review

Marzano

2021

Arterial Hypertension

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Background: Primary aldosteronism (PA) is the most frequent form of potentially reversible hypertension and coronary-pulmonary fistulas are increasingly recognized during routine coronary angiography or multidetector computed tomography for analysis of chest pain in hypertensive patients. Aldosterone hypersecretion has been associated with endothelial proliferation and pathological remodeling of the heart and arteries, though coronary artery fistulas have never been reported in patients with PA. Case presentation: The authors report the first case of PA with dilated cardiomyopathy unusually associated with electrocardiographic changes after normalization of hypokalemia and with the finding of a coronary-pulmonary fistula during coronary angiography. The clinical presentation and our diagnosis and treatment decision-making in the COVID-19 era are discussed below. Conclusions: Our case suggests a potential link between hypertensive patients with coronary artery fistulas and PA.

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“…Thus far, however, PA has not been reported as a clear cause for dilated cardiomyopathy [17] or coronary arteriovenous fistulas.…”

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Primary aldosteronism and coronary-pulmonary artery fistula: coincidence or causal link? A case report and literature review

Marzano

2021

Arterial Hypertension

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Catecholamine-induced cardiomyopathy: an endocrinologist’s perspective

Kumar¹,

Pappachan²,

Fernandez³

2021

Rev. Cardiovasc. Med.

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Although many endocrine diseases can be associated with acquired cardiomyopathy and heart failure, conditions except hypothyroidism, hyperthyroidism, phaeochromocytoma-paraganglioma (PPGL), and primary hyperaldosteronism are rare. PPGL is a rare catecholamine-secreting neuroendocrine tumour arising from the adrenal gland in 80–85% or extra-adrenal chromaffin cells of the autonomic neural ganglia in the remainder. The annual incidence of PPGL is 3–8 cases per million per year in the general population. Catecholamine-induced cardiomyopathy (CICMP) has got a prevalence of 8–11% among patients with PPGL. Hypertension, either sustained or episodic, is present in the vast majority (95%) of PPGL patients. However, among patients with CICMP, hypertension is present only in 65% of cases and the classical triad of paroxysmal headache, sweating, and palpitation is present only in 4%. Based on the cardiac remodelling in response to endogenous catecholamine excess, PPGL patients might present with one of the three CICMPs, including dilated cardiomyopathy (DCM), hypertrophic cardiomyopathy (HCM), or Takotsubo cardiomyopathy (TCM). Regardless of the subtypes, all CICMPs have many features in common — a dramatic clinical presentation, reversible cardiomyopathy, similar repolarisation electrocardiography changes, mild-moderate cardiac biomarker elevation, and normal coronary arteries on coronary angiography. CICMP should be suspected in patients with non-ischaemic, non-valvular forms of cardiomyopathy, even in those without definite features of catecholamine excess. PPGL associated TCM should be suspected in all acute coronary syndrome (ACS) patients exhibiting pronounced blood pressure variability with no culprit lesions on coronary angiography. This article will provide a review of the various CICMPs, their pathophysiology, clinical features, and the management options.

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Dilated cardiomyopathy and aldosteronoma: a causal link?

Cited by 2 publications

References 7 publications

Primary aldosteronism and coronary-pulmonary artery fistula: coincidence or causal link? A case report and literature review

Primary aldosteronism and coronary-pulmonary artery fistula: coincidence or causal link? A case report and literature review

Catecholamine-induced cardiomyopathy: an endocrinologist’s perspective

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