Phaeochromocytomas as a cause of hypotension.
A patient presented with apparent septicaemic shock. Full invasive cardiovascular monitoring revealed systemic hypotension, high normal cardiac output, and a low systemic vascular resistance. Maintenance of systemic vascular resistance and blood pressure was shown to be highly dependent on noradrenaline. Subsequent investigation revealed the presence of a phaeochromocytoma producing adrenaline. The mechanisms by which phaeochromocytomas may produce hypotension are discussed.
Baxter
M A
MA
General Hospital, Birmingham, UK.
Hunter
P
P
Thompson
G R
GR
London
D R
DR
D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000378:metabolism; D004837:Epinephrine / Q000378:metabolism; D006801:Humans; D007022:Hypotension / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D010673:Pheochromocytoma / Q000150:complications* / Q000378:metabolism
D004837:Epinephrine