Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10553/43706
Título: Acute myocardial infarction secondary to catecholamine release owing to cocaine abuse and pheochromocytoma crisis
Autores/as: Martínez Quintana, Efrén 
Jaimes-Vivas, Ricardo
Cuba-Herrera, Javiel
Saiz-Udaeta, Beatriz
Rodriguez-Gonzalez, Fayna
Martínez Martín, María Soledad 
Clasificación UNESCO: 320501 Cardiología
Palabras clave: Pheochromocytoma
Cocaine
Myocardial Infarction
Fecha de publicación: 2013
Editor/a: 1726-913X
Publicación seriada: International Journal of Endocrinology and Metabolism 
Resumen: Most pheochromocytomas are not suspected clinically while a high percentage of them are curable with surgery. We present the case of an adult cocaine-addicted male patient with an underlying pheochromocytoma and repeated myocardial infarctions. Computed tomography showed a left round adrenal mass, also high 24-hour urine levels of catecholamines and metanephrines were detected from urinalysis. The patient was given alpha and beta blockers, moreover a laparoscopic left adrenalectomy was performed. Cocaine can block the reuptake of noradrenaline, leading to increasing its concentration and consequently its effects as well, and induce local or diffuse coronary vasoconstriction in normal coronary artery segments per se, cocaine can also trigger pheochromocytoma crisis, and therefore, cardiac complications such as myocardial infarction due to these additive effects are intended to occur. For this reason, in the presence of typical clinical manifestations of pheochromocytoma, such as sustained or paroxysmal hypertension, headache, sweating, tachycardia and abdominal pain, probable association of this tumor in patients with cocaine abuse and associated cardiac complications must be ruled out.
URI: http://hdl.handle.net/10553/43706
ISSN: 1726-913X
DOI: 10.5812/ijem.6562
Fuente: International Journal of Endocrinology and Metabolism [ISSN 1726-913X], v. 11 (1), p. 48-51
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