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急性心肌梗死揭示嗜铬细胞瘤:一例报告

[Acute myocardial infarction revealing a pheochromocytoma: a case report].

作者信息

Tamdy A, Oukerraj L, Khatri D, Ait Bella S, Etalibi N, Fetouhi H, Boukili Y, Ismaili N, Jalal H, Fellat I, Arharbi M

机构信息

Service de cardiologie B, CHU Ibn-Sina, Rabat, Maroc.

出版信息

Ann Cardiol Angeiol (Paris). 2010 Apr;59(2):97-9. doi: 10.1016/j.ancard.2008.09.001. Epub 2008 Oct 11.

Abstract

We report a case of a 38-year-old woman with pheochromocytoma admitted to our department for an acute myocardial infarction. The diagnosis of pheochromocytoma was evoked in view of the major pressure variations that appeared secondarily. Pheochromocytoma is mainly medullosurrenal tumour with clinical polymorphism; it can lead to severe cardiovascular disorders. Nevertheless, cardiac involvement is rarely in the foreground. Our clinical case illustrates the importance to evoke the diagnosis of pheochromocytoma in front of atypical manifestations of acute coronary syndrome so as to reduce mortality.

摘要

我们报告一例38岁患有嗜铬细胞瘤的女性,因急性心肌梗死入住我科。鉴于继发出现的显著血压波动,引发了嗜铬细胞瘤的诊断。嗜铬细胞瘤主要是肾上腺髓质肿瘤,具有临床多态性;它可导致严重的心血管疾病。然而,心脏受累很少成为主要表现。我们的临床病例说明了在急性冠状动脉综合征出现非典型表现时,考虑嗜铬细胞瘤诊断以降低死亡率的重要性。

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