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[心肌病:嗜铬细胞瘤的首发临床表现——病例报告]

[Cardiomyopathy: first clinical manifestation of a pheochromocytoma--case report].

作者信息

Lopes Artur, Sousa Catarina, Correia Maria José, Júnior Correia, Rocha José, Pinto Fausto

机构信息

Serviço de Cardiologia, Hospital Divino Espírito Santo, Ponta Delgada, Portugal.

出版信息

Rev Port Cardiol. 2010 Jun;29(6):1065-9.

Abstract

Stress cardiomyopathy clinical presentation mimics an acute coronary syndrome. It is characterized by left ventricular multi-segmental commitment, absence of significant coronary artery disease and by the complete resolution of all the findings. Its pathophysiology is not yet clear, but the main theory suggests a catecholamine-mediated cardiotoxicity mechanism. Pheochromocytoma is a neuroendocrine tumor producer of catecholamines with several cardiovascular manifestations. We report a case of stress cardiomyopathy that was the first clinical manifestation of an unknown pheochromocytoma.

摘要

应激性心肌病的临床表现类似于急性冠状动脉综合征。其特征为左心室多节段受累、无明显冠状动脉疾病且所有表现均可完全缓解。其病理生理学尚不清楚,但主要理论认为是一种儿茶酚胺介导的心脏毒性机制。嗜铬细胞瘤是一种产生儿茶酚胺的神经内分泌肿瘤,有多种心血管表现。我们报告一例应激性心肌病病例,它是一例未知嗜铬细胞瘤的首发临床表现。

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