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Zweiker, R; Tiemann, M; Eber, B; Schumacher, M; Fruhwald, FM; Lipp, R; Lax, S; Pristautz, H; Klein, W.
Bradydysrhythmia-related presyncope secondary to pheochromocytoma.
J Intern Med. 1997; 242(3):249-253 Doi: 10.1046%2Fj.1365-2796.1997.00198.x (- Case Report) [OPEN ACCESS]
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Leading authors Med Uni Graz
Zweiker Robert
Co-authors Med Uni Graz
Fruhwald Friedrich
Lipp Rainer
Schumacher Martin
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Abstract:
Pheochromocytoma endures as a life-threatening disorder. In the absence of systemic hypertension, diagnosis may be difficult. We present a 46-year-old normotensive male with a history of presyncope. One of these episodes could be documented, and revealed symptomatic bradycardia suspicious of sinus node arrest. Due to hints of an elevated sympathetic tone (Schellong test, circadian blood pressure pattern without diurnal rhythm) 24-h urinary catecholamine concentrations were measured and found increased. MIBG-scintigraphy and abdominal-computed tomography indicated the location of the pheochromocytoma. After removal of the tumour, no further episodes of presyncopes or bradydysrhythmias were observed.
Find related publications in this database (using NLM MeSH Indexing)
Adrenal Gland Neoplasms - complications
Bradycardia - complications
Cysts - complications
Diagnosis, Differential - complications
Humans - complications
Male - complications
Middle Aged - complications
Pheochromocytoma - complications
Syncope - etiology

Find related publications in this database (Keywords)
Ambulatory Blood Pressure Monitoring
MIBG-Scintigraphy
Pheochromocytoma
Schellong Test
Sinus Node Arrest
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