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Bradydysrhythmia-related presyncope secondary to pheochromocytoma.

Abstract：

:Pheochromocytoma endures as a life-threatening disorder. In the absence of systemic hypertension, diagnosis may be difficult. We present a 46-year-old normotensive male with a history of presyncope. One of these episodes could be documented, and revealed symptomatic bradycardia suspicious of sinus node arrest. Due to hints of an elevated sympathetic tone (Schellong test, circadian blood pressure pattern without diurnal rhythm) 24-h urinary catecholamine concentrations were measured and found increased. MIBG-scintigraphy and abdominal-computed tomography indicated the location of the pheochromocytoma. After removal of the tumour, no further episodes of presyncopes or bradydysrhythmias were observed.

journal_name

J Intern Med

journal_title

Journal of internal medicine

authors

Zweiker R,Tiemann M,Eber B,Schumacher M,Fruhwald FM,Lipp R,Lax S,Pristautz H,Klein W

doi

10.1046/j.1365-2796.1997.00198.x

subject

Has Abstract

pub_date

1997-09-01 00:00:00

pages

249-53

issue

3

eissn

0954-6820

issn

1365-2796

journal_volume

242

pub_type

杂志文章

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