Pheochromocytoma Underlying Hypertension, Stroke, and Dilated Cardiomyopathy
Lin, Pi Chi (Creator), Hsu, Jen Te (Creator), Chung, Chang Min (Creator), Chang, Shih Tai (Creator)
We report the case of a 65-year-old man with a 6-year history of hypertension who presented with dilated cardiomyopathy, a transient cerebrovascular event, paroxysmal sweating, and intractable hypertension. Coronary angiography revealed no abnormality, but diagnostic testing was pursued because of the severe sweating and hypertension. Two-dimensional echocardiography showed 4-chamber dilatation with decreased left ventricular contractility. Further investigation, including a computed tomographic scan of the abdomen, led to a di-agnosis of pheochromocytoma. Surgical resection of a left adrenal pheochromocytoma quickly resolved the patient's hypertension and resulted in substantially improved cardiac function after 4 months
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