Dexamethasone-induced cardiogenic shock rescued by percutaneous cardiopulmonary support (PCPS) in a patient with pheochromocytoma.
A 52-year-old man with pheochromocytoma had cardiogenic shock and was rescued using a percutaneous cardio pulmonary supporting system. After recovery, diagnostic tests including metaiodobenzylguanidine scintigraphy and computed tomography, revealed the pheochromocytoma which was confirmed by histology. It was postulated that the acute episode was induced by intra-joint dexamethasone, which increased the production of epinephrine and augmented the sensitivity of cardiomyocytes for catecholamine, thereby inducing the cardiomyopathy.
Takagi
S
S
Division of Cardiology, National Cardiovascular Center, Fujishirodai, Suita, Japan.
Miyazaki
S
S
Fujii
T
T
Daikoku
S
S
Sutani
Y
Y
Morii
I
I
Yasuda
S
S
Goto
Y
Y
Nonogi
H
H
D000310:Adrenal Gland Neoplasms / Q000150:complications*; D000893:Anti-Inflammatory Agents / Q000009:adverse effects*; D002315:Cardiopulmonary Bypass; D003907:Dexamethasone / Q000009:adverse effects*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D010673:Pheochromocytoma / Q000150:complications*; D012770:Shock, Cardiogenic / Q000139:chemically induced* / Q000628:therapy*
D000893:Anti-Inflammatory Agents; D003907:Dexamethasone