Ventricular fibrillation as the presenting manifestation of adrenocortical carcinoma

Avi Shimony, Sergiy Bereza, Aryeh Shalev, Harel Gilutz, Reuben Ilia, Doron Zahger

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


We describe a case of a young adult in whom sudden cardiac death due to ventricular fibrillation was the presenting manifestation of an adrenocortical carcinoma. The arrhythmia was precipitated by severe hypokalemia induced by the aldosterone-secreting tumor. Sudden death has not been previously described as a manifestation of this adrenal neoplasm. Unexplained persistent hypokalemia after resuscitated sudden death (especially when combined with hypertension) should prompt investigation for an underlying secondary hypertension, particularly adrenal pathology. Adrenocortical carcinoma should be considered in the differential diagnosis of unexplained sudden death associated with unexplained hypokalemia.

Original languageEnglish
Pages (from-to)65-66
Number of pages2
JournalAmerican Heart Hospital Journal
Issue number1
StatePublished - 1 Jun 2009
Externally publishedYes

ASJC Scopus subject areas

  • Leadership and Management
  • Health Policy
  • Cardiology and Cardiovascular Medicine


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