Fluctuation of Blood Pressure in a Patient With Pheochromocytoma

Yuichi Fujii; Hiroki Teragawa; Kunihiro Hashimoto; Hirofumi Nakayama; Shinji Kishimoto; Yukihito Higashi

doi:10.1016/j.jaccas.2020.06.030

Fluctuation of Blood Pressure in a Patient With Pheochromocytoma

JACC Case Rep. 2020 Aug 26;2(15):2455-2459. doi: 10.1016/j.jaccas.2020.06.030. eCollection 2020 Dec.

Authors

Yuichi Fujii¹, Hiroki Teragawa¹, Kunihiro Hashimoto², Hirofumi Nakayama³, Shinji Kishimoto⁴, Yukihito Higashi⁴

Affiliations

¹ Department of Cardiovascular Medicine, Hiroshima General Hospital of West Japan Railway Company, Hiroshima, Japan.
² Department of Urology, Hiroshima General Hospital of West Japan Railway Company, Hiroshima, Japan.
³ Department of Pathology, Hiroshima General Hospital of West Japan Railway Company, Hiroshima, Japan.
⁴ Department of Cardiovascular Regeneration and Medicine, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan.

Abstract

Treatment with a combination of norepinephrine and doxazosin was effective in a patient with pheochromocytoma who had blood pressure fluctuation, hypotension, and recurrent syncope. After adrenalectomy, his blood pressure, heart rate, and plasma levels of catecholamines remained normal and stable without any medication. (Level of Difficulty: Beginner.).

Keywords: BP, blood pressure; DOA, dopamine; EPI, epinephrine; HR, heart rate; NE, norepinephrine; Pheo, pheochromocytoma; adrenalectomy; doxazosin; fluctuation of blood pressure; norepinephrine; pheochromocytoma.

Publication types

Case Reports