ST-Segment Elevation Myocardial Infarction Related to Potential Spontaneous Coronary Thrombosis in Pheochromocytoma

Fei Chen1, Mingxia Zheng1, Xi Li1

  • 1Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China.

Insights

Pheochromocytoma crisis can cause myocardial infarction. This case reveals spontaneous coronary thrombosis as a cause of ST-elevation myocardial infarction (STEMI) in pheochromocytoma crisis, a previously unreported finding.

Area of Science:

  • Cardiology
  • Endocrinology
  • Pathophysiology

Background:

  • Pheochromocytoma crisis is a rare, life-threatening emergency caused by excess catecholamines.
  • Catecholamine excess can lead to myocardial injury through direct toxicity or reduced coronary blood flow.
  • ST-segment elevation myocardial infarction (STEMI) has been observed in pheochromocytoma crisis, but the underlying mechanism remains unclear, with no prior evidence of occlusive coronary thrombus.

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