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Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance

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Published on: March 21, 2013

Palpitition, presyncope and abdominal mass.

Praloy Chakraborty¹, Hemanga Kumar Bhattacharjeee, S Anandaraja

¹Department of Cardiology, All India Institute of Medical Science, Ansari Nagar, New Delhi. praloyc@hotmail.com

Indian Heart Journal

|November 30, 2012

Summary

This summary is machine-generated.

Pheochromocytoma, a rare adrenal tumor, can cause serious cardiac issues like polymorphic ventricular tachycardia. Surgical removal of the tumor resolved the patient's symptoms and normalized heart rhythm.

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Area of Science:

Cardiology
Endocrinology
Oncology

Background:

Pheochromocytoma is a rare neuroendocrine tumor originating from chromaffin cells, typically in the adrenal medulla.
Cardiac complications associated with pheochromocytoma are well-documented, including arrhythmias, heart failure, myocardial infarction, and cardiomyopathy.

Observation:

A middle-aged female presented with recurrent episodes of pre-syncope.
The pre-syncope was attributed to polymorphic ventricular tachycardia.
Clinical evaluation revealed labile hypertension and an abdominal mass.

Findings:

The abdominal mass was diagnosed as pheochromocytoma.
Surgical resection of the pheochromocytoma was performed.
Post-operatively, the patient's symptoms resolved, and the QT interval normalized.

Implications:

This case highlights the critical link between pheochromocytoma and potentially life-threatening cardiac arrhythmias.
Early diagnosis and surgical management of pheochromocytoma are crucial for preventing severe cardiovascular complications.
Recognition of cardiac manifestations is vital for timely diagnosis and treatment of pheochromocytoma.