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尖端扭转型室速:肾上腺外嗜铬细胞瘤的一种罕见并发症。

Torsades de Pointes: a rare complication of an extra-adrenal pheochromocytoma.

作者信息

Methe Heiko, Hinterseer Martin, Wilbert-Lampen Ute, Beckmann Britt M, Steinbeck Gerhard, Kääb Stefan

机构信息

Department of Cardiology, Ludwig-Maximilians-University, Munich, Germany.

出版信息

Hypertens Res. 2007 Dec;30(12):1263-6. doi: 10.1291/hypres.30.1263.

Abstract

Pheochromocytoma is an infrequent secondary cause of arterial hypertension, often associated with paroxysmal headache, sweating, weight loss, and palpitations. Cardiovascular complications of pheochromocytoma include sudden death, heart failure due to toxic cardiomyopathy, and hypertensive encephalopathy. Here we report the case of a female with an acquired long-QT-syndrome as a rare complication of an extra-adrenal pheochromocytoma. Diagnosis was made after sotalol-induced Torsades de Pointes.

摘要

嗜铬细胞瘤是动脉高血压少见的继发性病因,常伴有阵发性头痛、出汗、体重减轻和心悸。嗜铬细胞瘤的心血管并发症包括猝死、中毒性心肌病所致心力衰竭以及高血压脑病。在此,我们报告1例女性患者,其获得性长QT综合征是肾上腺外嗜铬细胞瘤的罕见并发症。诊断是在索他洛尔诱发尖端扭转型室速后作出的。

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