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血压正常、室性心动过速与心悸:嗜铬细胞瘤的一种不寻常表现。

Normotension, ventricular tachycardia and palpitation: an unusual presentation of phaeochromocytoma.

作者信息

Manning L V, Barratt S

出版信息

Br J Clin Pract. 1989 Apr;43(4):163-4.

PMID:2590629
Abstract

Phaeochromocytomas are rare catecholamine-producing tumours arising from the cells of the sympathetic nervous system. They account for less than one per cent of hypertension. Undiagnosed sufferers are usually hypertensive and experience episodes of hypertensive crisis. Patients presenting with hypertensive attacks only at intervals and who are at other times normotensive account for only one to five per cent of cases. These subjects have been found to predominantly secrete adrenaline from their tumours. We report here such a case in a 43-year-old man who initially presented to the Coronary Care Unit.

摘要

嗜铬细胞瘤是起源于交感神经系统细胞的罕见的儿茶酚胺分泌肿瘤。它们在高血压患者中所占比例不到1%。未被诊断出的患者通常患有高血压,并经历高血压危象发作。仅间歇性出现高血压发作且在其他时间血压正常的患者仅占病例的1%至5%。已发现这些患者的肿瘤主要分泌肾上腺素。我们在此报告一名43岁男性的此类病例,该患者最初入住冠心病监护病房。

相似文献

1
Normotension, ventricular tachycardia and palpitation: an unusual presentation of phaeochromocytoma.血压正常、室性心动过速与心悸:嗜铬细胞瘤的一种不寻常表现。
Br J Clin Pract. 1989 Apr;43(4):163-4.
2
Cardiovascular manifestations of phaeochromocytoma.嗜铬细胞瘤的心血管表现。
J Hypertens. 2011 Nov;29(11):2049-60. doi: 10.1097/HJH.0b013e32834a4ce9.
3
Heart rate variability before sudden blood pressure elevations or complex cardiac arrhythmias in phaeochromocytoma.嗜铬细胞瘤患者在血压突然升高或发生复杂心律失常之前的心率变异性。
J Hum Hypertens. 1996 Jan;10(1):43-50.
4
[Tachycardia and hypotension attacks as the main symptoms of pheochromocytoma--case report].
Wien Med Wochenschr. 1995;145(14):333-6.
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Pheochromocytoma complicated with severe ventricular tachycardia: report of one case.嗜铬细胞瘤合并严重室性心动过速1例报告
Acta Paediatr Taiwan. 2007 Sep-Oct;48(5):280-4.
6
Spectral analysis of the systolic blood pressure signal in secondary hypertension: a method for the identification of phaeochromocytoma.继发性高血压中收缩压信号的频谱分析:一种嗜铬细胞瘤的识别方法。
J Hypertens. 1994 Mar;12(3):269-75.
7
Hypertensive episodes and circadian fluctuations of blood pressure in patients with phaeochromocytoma: studies by long-term blood pressure monitoring based on a volume-oscillometric method.嗜铬细胞瘤患者的高血压发作及血压的昼夜波动:基于容积示波法的长期血压监测研究
J Hypertens. 1988 Jan;6(1):9-15.
8
[Myocardial damage and pheochromocytoma. Description of 2 cases and review of the literature].
Minerva Med. 1990 Oct;81(10):741-7.
9
[The sympathetic system and neuroendocrine hypertension].[交感神经系统与神经内分泌性高血压]
G Ital Nefrol. 2008 Mar-Apr;25(2):203-14.
10
[Pheochromocytoma with normal blood pressure and dilated cardiomyopathy: a case report].[血压正常的嗜铬细胞瘤与扩张型心肌病:一例报告]
J Cardiogr. 1986 Sep;16(3):735-45.

引用本文的文献

1
Ventricular Tachycardia and Resembling Acute Coronary Syndrome During Pheochromocytoma Crisis: A Case Report.嗜铬细胞瘤危象期间的室性心动过速及类似急性冠状动脉综合征:一例报告
Medicine (Baltimore). 2016 Apr;95(14):e3297. doi: 10.1097/MD.0000000000003297.
2
The many faces of pheochromocytoma.嗜铬细胞瘤的多种表现
J Endocrinol Invest. 2008 May;31(5):450-8. doi: 10.1007/BF03346390.
3
Recurrent ventricular arrhythmias complicating myocardial infarction in the presence of phaeochromocytoma.嗜铬细胞瘤合并心肌梗死时并发的室性心律失常复发。
Br Heart J. 1992 Jan;67(1):97-8. doi: 10.1136/hrt.67.1.97.