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深入探究以窦房结功能障碍为表现的心悸——嗜铬细胞瘤

Looking Deep Into the Palpitation - Pheochromocytoma Presenting as Sinus Node Dysfunction.

作者信息

Shrivastava Abhinav, Nath Ranjit K, Aggarwal Puneet

机构信息

Cardiology, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, IND.

出版信息

Cureus. 2021 Aug 13;13(8):e17151. doi: 10.7759/cureus.17151. eCollection 2021 Aug.

DOI:10.7759/cureus.17151
PMID:34548968
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8437082/
Abstract

A 23-year-old male came to the outpatient department with a history of intermittent palpitations and headaches for the past six to eight months. He was diagnosed with hypertension and had a junctional rhythm on an electrocardiogram (ECG). On further workup for his hypertension, he was found to have elevated levels of serum metanephrines and computed tomography (CT) and positron emission tomography (PET) scan revealed pheochromocytoma. He was subsequently operated upon and his arrhythmia subsided after surgery. We discuss our approach to this scenario, which leads us to a rather rare cause of sinus node dysfunction.

摘要

一名23岁男性因过去六至八个月间歇性心悸和头痛的病史前来门诊就诊。他被诊断为高血压，心电图显示交界性心律。在对其高血压进行进一步检查时，发现他的血清间甲肾上腺素水平升高，计算机断层扫描（CT）和正电子发射断层扫描（PET）显示患有嗜铬细胞瘤。随后他接受了手术，术后心律失常消失。我们讨论了针对这种情况的处理方法，该方法使我们找到了一个相当罕见的窦房结功能障碍原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61a1/8437082/1d9b0872b9be/cureus-0013-00000017151-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61a1/8437082/a1fb135888b0/cureus-0013-00000017151-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61a1/8437082/abd9c3c241c2/cureus-0013-00000017151-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61a1/8437082/1d9b0872b9be/cureus-0013-00000017151-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61a1/8437082/a1fb135888b0/cureus-0013-00000017151-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61a1/8437082/abd9c3c241c2/cureus-0013-00000017151-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61a1/8437082/1d9b0872b9be/cureus-0013-00000017151-i03.jpg

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本文引用的文献

1
Pheochromocytoma and sinus node dysfunction.嗜铬细胞瘤与窦房结功能障碍。
Proc (Bayl Univ Med Cent). 2019 Mar 15;32(1):119-120. doi: 10.1080/08998280.2018.1533310. eCollection 2019 Jan.
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Atrioventricular dissociation due to pheochromocytoma in a young adult.青年成人因嗜铬细胞瘤导致的房室分离。
Clin Cardiol. 2010 Dec;33(12):E65-7. doi: 10.1002/clc.20645. Epub 2010 Sep 23.
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[Sinus node dysfunction with intermittent sinus arrest and AV-nodal escape rhythm as initial manifestation of pheochromocytoma].[以窦房结功能障碍伴间歇性窦性停搏及房室结逸搏心律为首发表现的嗜铬细胞瘤]
Z Kardiol. 2002 Jan;91(1):81-7. doi: 10.1007/s392-002-8376-8.
4
Recent advances in genetics, diagnosis, localization, and treatment of pheochromocytoma.嗜铬细胞瘤在遗传学、诊断、定位及治疗方面的最新进展。
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Bradydysrhythmia-related presyncope secondary to pheochromocytoma.嗜铬细胞瘤继发的与缓慢性心律失常相关的晕厥前状态。
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Reflex bradycardia and nodal escape rhythm in pheochromocytoma.嗜铬细胞瘤中的反射性心动过缓和结性逸搏心律
Am Heart J. 1968 Sep;76(3):388-92. doi: 10.1016/0002-8703(68)90235-4.
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[Bradycardia in a patient with pheochromocytoma].[嗜铬细胞瘤患者的心动过缓]
Ned Tijdschr Geneeskd. 1975 Feb 15;119(7):267-72.