[Dramatic symptoms of pheochromocytoma in old woman during antiarrhythmic therapy with sotalol: case report].
We present the case of 81-years old woman with diabetes mellitus and moderate hypertension who reported multiple syncope's. Cerebral and metabolic causes of syncope's were excluded and the patient was diagnosed to have sick sinus syndrome. After implantation of the cardiac pacemaker the treatment with sotalol was started. After introducing the antiarrhythmic drug the frequency of syncopes increased dramatically and blood pressure rose unusually (up to 250/140 mm Hg). Subsequently phaeochromocytoma was suspected. Laboratory data as well as computed tomography confirmed the diagnosis of left adrenal tumour. After successful surgery the blood pressure normalized and the patient recovered uneventfully. The reported cases describes the difficulties in diagnosing phaeochromocytoma in elderly people with multiple different accompanying diseases.
Katedra i Klinika Chorób Wewnetrznych i Endokrynologii Akademii Medycznej w Warszawie.
Agnieszka
A
Zakrzewska
Anna M
AM
Makowska
Barbara
B
Górnicka
Mieczysław
M
Szostek
Ewa
E
Bar-Andziak
D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging; D000368:Aged; D000369:Aged, 80 and over; D000889:Anti-Arrhythmia Agents / Q000009:adverse effects* / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy*; D010673:Pheochromocytoma / Q000175:diagnosis* / Q000000981:diagnostic imaging; D012720:Severity of Illness Index; D013015:Sotalol / Q000009:adverse effects* / Q000627:therapeutic use; D013575:Syncope / Q000139:chemically induced*; D014057:Tomography, X-Ray Computed
D000889:Anti-Arrhythmia Agents; D013015:Sotalol