Utility of alpha-blockade in a hypotensive pheochromocytoma patient with myocardial infarction

Norasyikin A. Wahab @ A. Rahman, Suehazlyn Zainudin, Aini Abaziz, Nor Azmi Kamaruddin

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: The aim of this case study is to emphasize the importance of α-blockade in managing a rare complication of an untreated pheochromocytoma. Clinical Presentation and Intervention: A 41-year-old man with previous bilateral pheochromocytoma presented with chest pain. He was suffering from cardiac failure and persistent hypotension requiring an inotrope. Cardiac markers, an electrocardiogram and an echocardiogram confirmed acute myocardial infarct with poor ejection fraction and global hypokinesia. An 18F-fluorodeoxyglucose PET/CT scan showed progressive left suprarenal and organ of Zuckerkandl pheochromocytomas. Blood pressure stabilisation proved challenging but was achieved by titrating an incremental dose of α-blocker against a tapering inotropic dose. Conclusion: This case showed the efficacy of an α-blocker despite persistent hypotension in a patient with pheochromocytoma-induced cardiomyopathy.

Original languageEnglish
Pages (from-to)96-98
Number of pages3
JournalMedical Principles and Practice
Volume24
Issue number1
DOIs
Publication statusPublished - 21 Jan 2014

Fingerprint

Pheochromocytoma
Myocardial Infarction
Hypotension
Para-Aortic Bodies
Hypokinesia
Fluorodeoxyglucose F18
Chest Pain
Cardiomyopathies
Electrocardiography
Heart Failure
Blood Pressure

Keywords

  • Cardiomyopathy
  • Myocardial infarction
  • Noradrenaline
  • Pheochromocytoma
  • α-Blocker

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Utility of alpha-blockade in a hypotensive pheochromocytoma patient with myocardial infarction. / A. Wahab @ A. Rahman, Norasyikin; Zainudin, Suehazlyn; Abaziz, Aini; Kamaruddin, Nor Azmi.

In: Medical Principles and Practice, Vol. 24, No. 1, 21.01.2014, p. 96-98.

Research output: Contribution to journalArticle

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