Recurrent ventricular tachycardia as initial presentation of pheochromocytoma: A case report and literature review

Li, Jiwen; Huang, Kejie; Jiang, Ping; Chen, Yi; Gan, Hongmei; Su, Xi

doi:10.1016/j.jelectrocard.2020.02.004

Cited by 2 publications

(3 citation statements)

References 19 publications

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“…Although implantable cardioverter defibrillator is a logical option for management, 6 multiple device therapy is associated with high burden of shocks, thereby decreasing the quality of life, and recurrent adrenaline-provoking shocks, inappropriate shocks by complex atrial, and ventricular arrhythmias can worsen ventricular systolic function. 4 6,7,8…”

Section: Discussionmentioning

confidence: 99%

Cardiac arrest as initial presentation of pheochromocytoma in a young

Wang

Yang

2023

Cardiol Young

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Section: Discussionmentioning

confidence: 99%

Cardiac arrest as initial presentation of pheochromocytoma in a young

Wang

Yang

2023

Cardiol Young

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“…Excessive activation of the adrenoreceptors in the sinoatrial node by excess circulating catecholamines leads to ST. 131 Presentations could also include exercise-induced palpitations and chest discomfort, 132 exercise-induced ventricular tachycardia (VT), 133 recurrent VT, 134,135 QT prolongation, and monomorphic VT. 136 Isolated junctional tachycardia was the first manifestation in a child. 137 Pheochromocytoma-induced atrial tachycardia has been reported.…”

Section: Selected Etiology: Pheochromocytomamentioning

confidence: 99%

“…ECG changes described included wide QRS tachycardia, junctional or ST. 62 In a recent study of 650 patients with pheochromocytoma seen between 2004 and 2019, 10.9% were found to have some form of tachyarrhythmia, of whom, 98.6% developed ST at some point, 11.3% developed atrial fibrillation, 5.6% developed atrial flutter, and 4.2% developed ventricular tachycardia. 131 Excessive activation of the adrenoreceptors in the sinoatrial node by excess circulating catecholamines leads to ST. 131 Presentations could also include exercise-induced palpitations and chest discomfort, 132 exercise-induced ventricular tachycardia (VT), 133 recurrent VT, 134,135 QT prolongation, and monomorphic VT. 136 Isolated junctional tachycardia was the first manifestation in a child. 137 Pheochromocytoma-induced atrial tachycardia has been reported.…”

Section: Diagnosis Involves Biochemical Work Up Followedmentioning

confidence: 99%

Sinus Tachycardia: a Multidisciplinary Expert Focused Review

Mayuga

Fedorowski

Ricci

et al. 2022

Circ: Arrhythmia and Electrophysiology

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Sinus tachycardia (ST) is ubiquitous, but its presence outside of normal physiological triggers in otherwise healthy individuals remains a commonly encountered phenomenon in medical practice. In many cases, ST can be readily explained by a current medical condition that precipitates an increase in the sinus rate, but ST at rest without physiological triggers may also represent a spectrum of normal. In other cases, ST may not have an easily explainable cause but may represent serious underlying pathology and can be associated with intolerable symptoms. The classification of ST, consideration of possible etiologies, as well as the decisions of when and how to intervene can be difficult. ST can be classified as secondary to a specific, usually treatable, medical condition (eg, pulmonary embolism, anemia, infection, or hyperthyroidism) or be related to several incompletely defined conditions (eg, inappropriate ST, postural tachycardia syndrome, mast cell disorder, or post-COVID syndrome). While cardiologists and cardiac electrophysiologists often evaluate patients with symptoms associated with persistent or paroxysmal ST, an optimal approach remains uncertain. Due to the many possible conditions associated with ST, and an overlap in medical specialists who see these patients, the inclusion of experts in different fields is essential for a more comprehensive understanding. This article is unique in that it was composed by international experts in Neurology, Psychology, Autonomic Medicine, Allergy and Immunology, Exercise Physiology, Pulmonology and Critical Care Medicine, Endocrinology, Cardiology, and Cardiac Electrophysiology in the hope that it will facilitate a more complete understanding and thereby result in the better care of patients with ST.

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Recurrent ventricular tachycardia as initial presentation of pheochromocytoma: A case report and literature review

Cited by 2 publications

References 19 publications

Cardiac arrest as initial presentation of pheochromocytoma in a young

Cardiac arrest as initial presentation of pheochromocytoma in a young

Sinus Tachycardia: a Multidisciplinary Expert Focused Review

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