Hamada N, Akamatsu A, Joh T
Department of Internal Medicine, Ehime Prefectual Central Hospital, Japan.
Jpn Circ J. 1993 Jan;57(1):84-90. doi: 10.1253/jcj.57.84.
We encountered a case of pheochromocytoma which was characterized by the sudden onset of acute renal failure and pulmonary edema. Acute renal failure was rapidly improved after surgical removal of the tumor. This patient was also found to have a hypertrophied, dilated and hypokinetic left ventricle as assessed by echocardiography. Two years after tumor resection, cardiac size and function were normalized. This shows that a catecholamine-induced cardiomyopathy is reversible.
我们遇到了一例嗜铬细胞瘤病例，其特征为急性肾衰竭和肺水肿突然发作。手术切除肿瘤后，急性肾衰竭迅速改善。经超声心动图评估，该患者还存在左心室肥厚、扩张及运动减弱的情况。肿瘤切除两年后，心脏大小和功能恢复正常。这表明儿茶酚胺诱导的心肌病是可逆的。
