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

28 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

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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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.",

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AU - Kobal, Sergio L.

AU - Paran, Esther

AU - Jamali, Aamer

AU - Mizrahi, Solly

AU - Siegel, Robert J.

AU - Leor, Jonathan

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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.

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Pheochromocytoma: Cyclic attacks of hypertension alternating with hypotension

Abstract

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