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Reversible catecholamine-induced cardiomyopathy due to pheochromocytoma: case report

Milan Satendra1, Cláudia de Jesus2, Armando L Bordalo e Sá1

  • 1Serviço de Cardiologia, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Lisboa, Portugal.

Revista Portuguesa De Cardiologia : Orgao Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology
|April 2, 2014
PubMed

Insights

Pheochromocytoma, a rare tumor, can cause heart failure due to excess catecholamines. Early diagnosis and treatment led to significant recovery of heart function in a patient with dilated cardiomyopathy.

Area of Science:

  • Endocrinology
  • Cardiology
  • Oncology

Background:

  • Pheochromocytoma is a neuroendocrine tumor arising from chromaffin cells.
  • It secretes excessive catecholamines, leading to various clinical manifestations.
  • Cardiovascular complications, including cardiomyopathy, are significant concerns.

Observation:

  • A patient presented with symptoms suggestive of dilated cardiomyopathy.
  • Investigations revealed an underlying pheochromocytoma as the cause.
  • The patient experienced severe left ventricular dysfunction and congestive heart failure.

Findings:

  • Surgical removal of the pheochromocytoma was performed.
  • Post-treatment, the patient showed dramatic symptomatic improvement.
  • Left ventricular function significantly recovered, reversing the cardiomyopathy.

Implications:

  • This case underscores the importance of considering pheochromocytoma in unexplained cardiomyopathy.
  • Timely diagnosis and treatment of pheochromocytoma can lead to complete cardiovascular recovery.
  • Highlights the reversible nature of catecholamine-induced cardiomyopathy.

Keywords:
CardiomyopathyCatecholaminesCatecolaminasFeocromocitomaHeart failureInsuficiência cardíacaMiocardiopatiaPheochromocytoma

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