Pheochromocytoma masquerading as acute coronary syndrome

Awadelkareem, Abuzar; Elsaify, Wael; Nag, Sath; Ashwell, Susan; Mohammed, Azmi

doi:10.1530/endoabs.86.p310

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2024

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“…Pheochromocytomas are more commonly seen in the fourth and fifth decades but may occur at any age without any gender predilection [ 5 ]. As seen in this case, there are multiple reported cases with similar presentations with raised troponin levels [ 6 - 8 ]. One retrospective study among diagnosed cases of pheochromocytoma suggested that pheochromocytoma should be added as a differential diagnosis of ACS because the sudden release of catecholamines can induce chest pain and produce ECG changes.…”

Section: Discussionmentioning

confidence: 80%

A Case of Pheochromocytoma Presenting With Acute Coronary Syndrome

Dhadwad,

Kadiwala,

Kishore

et al. 2024

Cureus

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Pheochromocytoma is a rare endocrine tumor originating from chromaffin cells of the adrenal medulla, which leads to the overproduction of catecholamines. Most symptoms, ranging from simple headaches to life-threatening cardiac arrests, are due to excess catecholamines. Usually, patients present with persistent or paroxysmal hypertension, headaches, sweating, and palpitations. Here, we describe a case that initially presented as an acute coronary syndrome and was treated accordingly. However, she had a history of nocturnal awakenings and panic attacks, which she had ignored for a month. On further evaluation, it turned out to be pheochromocytoma. This case report will surely help physicians better diagnose and treat such cases.

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Section: Discussionmentioning

confidence: 80%