Pheochromocytoma, “the Great Masquerader,” Presenting as Severe Acute Decompensated Heart Failure in a Young Patient
A 22-year-old man presented to the hospital with progressive shortness of breath, chest discomfort, sinus tachycardia, and emesis. The echocardiogram demonstrated global hypokinesis with a left ventricle ejection fraction of 15–20%. The patient was treated for acute systolic heart failure decompensa...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2018/8767801 |
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| _version_ | 1850233654925590528 |
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| author | Hans A. Reyes Jason J. Paquin David M. Harris |
| author_facet | Hans A. Reyes Jason J. Paquin David M. Harris |
| author_sort | Hans A. Reyes |
| collection | DOAJ |
| description | A 22-year-old man presented to the hospital with progressive shortness of breath, chest discomfort, sinus tachycardia, and emesis. The echocardiogram demonstrated global hypokinesis with a left ventricle ejection fraction of 15–20%. The patient was treated for acute systolic heart failure decompensation with diuresis and afterload reduction. Unexpectedly, an abdominal computed tomography showed a left adrenal mass and subsequent serum/urine metanephrine tests suggested pheochromocytoma. Once the patient had stabilized, he underwent an uneventful adrenalectomy with histology results confirming the diagnosis of pheochromocytoma. After six months follow-up, he is currently doing well with close outpatient follow-up by cardiology. |
| format | Article |
| id | doaj-art-0c7cc13c44cd48c9985eb1a6a9539cb6 |
| institution | OA Journals |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-0c7cc13c44cd48c9985eb1a6a9539cb62025-08-20T02:02:52ZengWileyCase Reports in Cardiology2090-64042090-64122018-01-01201810.1155/2018/87678018767801Pheochromocytoma, “the Great Masquerader,” Presenting as Severe Acute Decompensated Heart Failure in a Young PatientHans A. Reyes0Jason J. Paquin1David M. Harris2Division of Cardiovascular Health and Disease, University of Cincinnati College of Medicine, Cincinnati, OH, USADivision of Cardiology, Mercy Heart Institute, Cincinnati, OH, USADivision of Cardiovascular Health and Disease, University of Cincinnati College of Medicine, Cincinnati, OH, USAA 22-year-old man presented to the hospital with progressive shortness of breath, chest discomfort, sinus tachycardia, and emesis. The echocardiogram demonstrated global hypokinesis with a left ventricle ejection fraction of 15–20%. The patient was treated for acute systolic heart failure decompensation with diuresis and afterload reduction. Unexpectedly, an abdominal computed tomography showed a left adrenal mass and subsequent serum/urine metanephrine tests suggested pheochromocytoma. Once the patient had stabilized, he underwent an uneventful adrenalectomy with histology results confirming the diagnosis of pheochromocytoma. After six months follow-up, he is currently doing well with close outpatient follow-up by cardiology.http://dx.doi.org/10.1155/2018/8767801 |
| spellingShingle | Hans A. Reyes Jason J. Paquin David M. Harris Pheochromocytoma, “the Great Masquerader,” Presenting as Severe Acute Decompensated Heart Failure in a Young Patient Case Reports in Cardiology |
| title | Pheochromocytoma, “the Great Masquerader,” Presenting as Severe Acute Decompensated Heart Failure in a Young Patient |
| title_full | Pheochromocytoma, “the Great Masquerader,” Presenting as Severe Acute Decompensated Heart Failure in a Young Patient |
| title_fullStr | Pheochromocytoma, “the Great Masquerader,” Presenting as Severe Acute Decompensated Heart Failure in a Young Patient |
| title_full_unstemmed | Pheochromocytoma, “the Great Masquerader,” Presenting as Severe Acute Decompensated Heart Failure in a Young Patient |
| title_short | Pheochromocytoma, “the Great Masquerader,” Presenting as Severe Acute Decompensated Heart Failure in a Young Patient |
| title_sort | pheochromocytoma the great masquerader presenting as severe acute decompensated heart failure in a young patient |
| url | http://dx.doi.org/10.1155/2018/8767801 |
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