嗜铬细胞瘤与窦房结功能障碍。
Pheochromocytoma and sinus node dysfunction.
作者信息
Lee Mary, Langsjeon Dane, Devabhaktuni Srikala, Olsovsky Greg
机构信息
Department of Internal Medicine, Baylor Scott & White Medical Center-TempleTempleTexas.
Department of Cardiovascular Medicine, Baylor Scott & White Medical Center-TempleTempleTexas.
出版信息
Proc (Bayl Univ Med Cent). 2019 Mar 15;32(1):119-120. doi: 10.1080/08998280.2018.1533310. eCollection 2019 Jan.
Abstract
Pheochromocytomas are rare catecholamine-producing neuroendocrine tumors that can lead to detrimental outcomes; if identified and treated, they are associated with a good prognosis. The clinical presentation can vary greatly but is classically associated with tachycardia, headaches, and hypertension. Bradyarrhythmias and sinus node dysfunction are uncommon complications of this condition. We present a case of pheochromocytoma associated with sinus pauses and junctional escape rhythms that had complete resolution of sinus node dysfunction after adrenalectomy.
摘要
嗜铬细胞瘤是一种罕见的分泌儿茶酚胺的神经内分泌肿瘤，可导致不良后果；若能识别并治疗，其预后良好。临床表现差异很大，但典型表现为心动过速、头痛和高血压。缓慢性心律失常和窦房结功能障碍是这种疾病不常见的并发症。我们报告一例与窦性停搏和交界性逸搏心律相关的嗜铬细胞瘤病例，该病例在肾上腺切除术后窦房结功能障碍完全缓解。
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