Myocardial infarction as a complication of pheochromocytoma in a pregnant woman.
Pheochromocytoma is an unusual cause of hypertension during pregnancy. We present a 40-year-old woman who had a myocardial infarction during pregnancy in whom pheochromocytoma was subsequently diagnosed. This disorder carries a high risk of maternal and perinatal mortality, if undiagnosed prior to delivery. Therefore, the diagnosis of pheochromocytoma should be considered in pregnant patients who exhibit a marked fluctuation in hypertension. Urinary concentrations of catecholamines and their metabolites should be measured in such cases.
Hamada
S
S
Department of Obstetrics and Gynecology, Prefectural Central Hospital, Tokushima, Japan.
Hinokio
K
K
Naka
O
O
Higuchi
K
K
Takahashi
H
H
Sumitani
H
H
D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000175:diagnosis; D000328:Adult; D001794:Blood Pressure; D002585:Cesarean Section; D004562:Electrocardiography; D004837:Epinephrine / Q000097:blood; D005260:Female; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications* / Q000188:drug therapy; D009638:Norepinephrine / Q000097:blood; D010673:Pheochromocytoma / Q000150:complications* / Q000175:diagnosis; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D011252:Pregnancy Complications, Neoplastic; D011256:Pregnancy Outcome
D009638:Norepinephrine; D004837:Epinephrine