Infarto agudo de miocardio probablemente secundario a severo vasospasmo coronario durante crisis de feocromocitoma

Coroleu, Santiago Federico; Muñoz-Camacho, Juan Francisco; Fernández-Gómez, Carlos; Tarroch-Sarasa, Xavier

doi:10.1016/j.recesp.2010.09.008

Cited by 6 publications

(1 citation statement)

References 7 publications

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“…Cardiac symptoms are variable, ranging from asymptomatic forms seen in patients with adrenal incidentalomas to patients with hypertensive crisis (4), ST elevation (5) and non-ST elevation (6) acute myocardial infarction, tako-tsubo cardiomyopathy (7), adrenergic myocarditis (8), cardiomyopathies (9), QT prolongation (10), ventricular tachycardia (11) or cardiac heart failure (12). In fact, Yu et al(13) showed that 12% of patients with pheochromocytoma had cardiac complications, additionally, focal myocardial necrosis and inflammation were present in 50% of patients who died of pheochromocytoma (8).…”

Section: Discussionmentioning

confidence: 99%

Acute Myocardial Infarction Secondary to Catecholamine Release Owing to Cocaine Abuse and Pheochromocytoma Crisis

Martínez‐Quintana¹,

Jaimes-Vivas²,

Cuba-Herrera³

et al. 2012

Int J Endocrinol Metab

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Most pheochromocytomas are not suspected clinically while a high percentage of them are curable with surgery. We present the case of an adult cocaine-addicted male patient with an underlying pheochromocytoma and repeated myocardial infarctions. Computed tomography showed a left round adrenal mass, also high 24-hour urine levels of catecholamines and metanephrines were detected from urinalysis. The patient was given alpha and beta blockers, moreover a laparoscopic left adrenalectomy was performed. Cocaine can block the reuptake of noradrenaline, leading to increasing its concentration and consequently its effects as well, and induce local or diffuse coronary vasoconstriction in normal coronary artery segments per se, cocaine can also trigger pheochromocytoma crisis, and therefore, cardiac complications such as myocardial infarction due to these additive effects are intended to occur. For this reason, in the presence of typical clinical manifestations of pheochromocytoma, such as sustained or paroxysmal hypertension, headache, sweating, tachycardia and abdominal pain, probable association of this tumor in patients with cocaine abuse and associated cardiac complications must be ruled out.

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Section: Discussionmentioning

confidence: 99%

Acute Myocardial Infarction Secondary to Catecholamine Release Owing to Cocaine Abuse and Pheochromocytoma Crisis

Martínez‐Quintana¹,

Jaimes-Vivas²,

Cuba-Herrera³

et al. 2012

Int J Endocrinol Metab

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Concealed pheochromocytoma presenting as recurrent acute coronary syndrome with STEMI

Beedupalli

Akkuş

2013

Herz

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Pheochromocytomas are rare, primarily benign tumors of chromaffin cells that secrete catecholamines. Although they are curable when diagnosed early, they can be fatal if undiagnosed or mistreated. Pheochromocytoma causing acute myocardial infarction has been reported as presenting with either unstable angina with EKG changes and/or non-ST elevation myocardial infarction (NSTEMI), but there have been no reported cases of pheochromocytoma presenting as acute ST segment elevation myocardial infarction (STEMI) in the setting of hyperthyroidism. Herein, we report a 44-year-old female patient with underlying pheochromocytoma who presented with multiple episodes of acute coronary syndrome (ACS) including an episode of STEMI in the setting of thyroid storm with no obstructive coronary artery disease (CAD).

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A Giant Left Anterior Descending Artery Aneurysm and an Updated Review on Coronary Aneurysms

Rafael-Yarihuaman,

Wang,

Guevara

et al. 2024

The American Journal of Cardiology

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Infarto agudo de miocardio probablemente secundario a severo vasospasmo coronario durante crisis de feocromocitoma

Cited by 6 publications

References 7 publications

Acute Myocardial Infarction Secondary to Catecholamine Release Owing to Cocaine Abuse and Pheochromocytoma Crisis

Acute Myocardial Infarction Secondary to Catecholamine Release Owing to Cocaine Abuse and Pheochromocytoma Crisis

Concealed pheochromocytoma presenting as recurrent acute coronary syndrome with STEMI

A Giant Left Anterior Descending Artery Aneurysm and an Updated Review on Coronary Aneurysms

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