Gatzoulis K A, Tolis G, Theopistou A, Gialafos J H, Toutouzas P K
Department of Cardiology, Hippokration General Hospital, Athens, Greece.
Acta Cardiol. 1998;53(4):227-9.
A 45-year-old male presented with acute pulmonary oedema, chest pain and electrocardiographic manifestations of acute myocardial ischaemia in the setting of hypertension crisis from a hyperfunctioning large left-sided pheochromocytoma. Coronary artery disease was excluded on the basis of thallium stress testing and coronary angiography. The latter revealed a picture consistent with dilated cardiomyopathy. After surgical resection of the tumour, both the hypercatecholaminaemia and the arterial hypertension subsided promptly with gradual improvement of the cardiomyopathy and complete resolution of the congestive heart failure symptoms.
一名45岁男性因左侧大的高功能嗜铬细胞瘤引发高血压危象，出现急性肺水肿、胸痛及急性心肌缺血的心电图表现。基于铊负荷试验和冠状动脉造影排除了冠状动脉疾病。后者显示出符合扩张型心肌病的表现。肿瘤手术切除后，高儿茶酚胺血症和动脉高血压迅速消退，心肌病逐渐改善，充血性心力衰竭症状完全缓解。
