A Case of Pheochromocytoma with Acute Myocardial Infarction.

Ahn, Yoo Bae; Kang, Moo Il; Lee, Kwang Woo; Son, Ho Young; Kang, Sung Koo; Cha, Bong Yeon; Seo, Baek Jong; Jang, Ki Yook; Yoon, In Jae; Lee, Sang Jun; Park, Sun Sook; Oh, Yong Seok

Case Report

Journal of Korean Endocrine Society 1997;12(4):655-660.
Published online January 1, 2001.

A Case of Pheochromocytoma with Acute Myocardial Infarction.

Yoo Bae Ahn, Moo Il Kang, Kwang Woo Lee, Ho Young Son, Sung Koo Kang, Bong Yeon Cha, Baek Jong Seo, Ki Yook Jang, In Jae Yoon, Sang Jun Lee, Sun Sook Park, Yong Seok Oh

Abstract

Pheochromocytoma, the catecholamine-producing tumor of chromaffin tissue, is associated with a curable form of hypertension. Recently we report the case of a 59 year-old male admitted for an acute myocardial infarction and who subsequently developed late recurrent severe ventricular arrhythmia coincident with transient hypertensive episodes. A pheochromocytoma was diagnosed on the basis of the urinary concentration of catecholamines and computerized tomography of the adrenal glands. After stabilization of his cardiac rhythm and blood pressure with alpha adrenergic blockade, the left adrenal gland, which contained the tumor, was subsequently resected. The diagnosis of a pheochromocytoma should be considered when recurrent ventricular arrhythmia are associated with intermittent hypertension after acute myocardial infarction.

Key Words: Pheochromocytoma, Acute myocardial infarction