Pheochromocytoma: Cyclic attacks of hypertension alternating with hypotension

Sergio L. Kobal; Esther Paran; Aamer Jamali; Solly Mizrahi; Robert J. Siegel; Jonathan Leor

doi:10.1038/ncpcardio1054

Pheochromocytoma: Cyclic attacks of hypertension alternating with hypotension

Sergio L. Kobal, Esther Paran, Aamer Jamali, Solly Mizrahi, Robert J. Siegel, Jonathan Leor

Research output: Contribution to journal › Article › peer-review

23 Scopus citations

Abstract

Background: A 52-year-old woman was admitted to hospital with recurrent episodes of chest and abdominal pain, dyspnea, palpitations and diaphoresis. Continuous blood pressure recordings revealed rhythmic alternation between episodes of severe hypertension and episodes of hypotension. This cyclic hemodynamic crisis continued for 2 hours, with each cycle lasting around 15 min. Investigations: Physical examination, electrocardiography, chest radiography, continuous intra-arterial pressure monitoring, blood and urine analysis, echocardiography, abdominal CT and 131I miodobenzylguanidine scanning. Diagnosis: Pheochromocytoma - a catecholamine secreting tumor. Management: Intravenous phentolamine and fluids, oral doxazosin and surgical removal of the tumor.

Original language	English
Pages (from-to)	53-57
Number of pages	5
Journal	Nature Clinical Practice Cardiovascular Medicine
Volume	5
Issue number	1
DOIs	https://doi.org/10.1038/ncpcardio1054
State	Published - 1 Jan 2008
Externally published	Yes

Access to Document

10.1038/ncpcardio1054

Cite this

@article{4296ac83d541453ca467289a19d328b6,

title = "Pheochromocytoma: Cyclic attacks of hypertension alternating with hypotension",

abstract = "Background: A 52-year-old woman was admitted to hospital with recurrent episodes of chest and abdominal pain, dyspnea, palpitations and diaphoresis. Continuous blood pressure recordings revealed rhythmic alternation between episodes of severe hypertension and episodes of hypotension. This cyclic hemodynamic crisis continued for 2 hours, with each cycle lasting around 15 min. Investigations: Physical examination, electrocardiography, chest radiography, continuous intra-arterial pressure monitoring, blood and urine analysis, echocardiography, abdominal CT and 131I miodobenzylguanidine scanning. Diagnosis: Pheochromocytoma - a catecholamine secreting tumor. Management: Intravenous phentolamine and fluids, oral doxazosin and surgical removal of the tumor.",

author = "Kobal, {Sergio L.} and Esther Paran and Aamer Jamali and Solly Mizrahi and Siegel, {Robert J.} and Jonathan Leor",

year = "2008",

month = jan,

day = "1",

doi = "10.1038/ncpcardio1054",

language = "English",

volume = "5",

pages = "53--57",

journal = "Nature Reviews Cardiology",

issn = "1759-5002",

publisher = "Nature Publishing Group",

number = "1",

}

TY - JOUR

T1 - Pheochromocytoma

T2 - Cyclic attacks of hypertension alternating with hypotension

AU - Kobal, Sergio L.

AU - Paran, Esther

AU - Jamali, Aamer

AU - Mizrahi, Solly

AU - Siegel, Robert J.

AU - Leor, Jonathan

PY - 2008/1/1

Y1 - 2008/1/1

N2 - Background: A 52-year-old woman was admitted to hospital with recurrent episodes of chest and abdominal pain, dyspnea, palpitations and diaphoresis. Continuous blood pressure recordings revealed rhythmic alternation between episodes of severe hypertension and episodes of hypotension. This cyclic hemodynamic crisis continued for 2 hours, with each cycle lasting around 15 min. Investigations: Physical examination, electrocardiography, chest radiography, continuous intra-arterial pressure monitoring, blood and urine analysis, echocardiography, abdominal CT and 131I miodobenzylguanidine scanning. Diagnosis: Pheochromocytoma - a catecholamine secreting tumor. Management: Intravenous phentolamine and fluids, oral doxazosin and surgical removal of the tumor.

AB - Background: A 52-year-old woman was admitted to hospital with recurrent episodes of chest and abdominal pain, dyspnea, palpitations and diaphoresis. Continuous blood pressure recordings revealed rhythmic alternation between episodes of severe hypertension and episodes of hypotension. This cyclic hemodynamic crisis continued for 2 hours, with each cycle lasting around 15 min. Investigations: Physical examination, electrocardiography, chest radiography, continuous intra-arterial pressure monitoring, blood and urine analysis, echocardiography, abdominal CT and 131I miodobenzylguanidine scanning. Diagnosis: Pheochromocytoma - a catecholamine secreting tumor. Management: Intravenous phentolamine and fluids, oral doxazosin and surgical removal of the tumor.

UR - http://www.scopus.com/inward/record.url?scp=37749051530&partnerID=8YFLogxK

U2 - 10.1038/ncpcardio1054

DO - 10.1038/ncpcardio1054

M3 - Article

AN - SCOPUS:37749051530

VL - 5

SP - 53

EP - 57

JO - Nature Reviews Cardiology

JF - Nature Reviews Cardiology

SN - 1759-5002

IS - 1

ER -

Pheochromocytoma: Cyclic attacks of hypertension alternating with hypotension

Abstract

Access to Document

Other files and links

Fingerprint

Cite this