J Korean Soc Endocrinol.  1997 Dec;12(4):655-660.

A Case of Pheochromocytoma with Acute Myocardial Infarction

• Ahn YB
• Kang MI
• Lee KW
• Son HY
• Kang SK
• Cha BY
• Seo BJ
• Jang KY
• Yoon IJ
• Lee SJ
• Park SS
• Oh YS

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.

MeSH Terms

Adrenal Glands
Arrhythmias, Cardiac
Blood Pressure
Catecholamines
Diagnosis
Humans
Hypertension
Male
Middle Aged
Myocardial Infarction*
Pheochromocytoma*
Catecholamines