title: Adrenal adenoma presenting with ventricular fibrillation.
abstract: We report the case of a 58-year-old man who presented with ventricular fibrillation. The serum potassium level was 1.8 mEq/L after successful cardioversion. Coronary angiography showed a normal heart with no structural defects, but 12-lead electrocardiography showed indications of left ventricular hypertrophy, which was confirmed by echocardiography. Laboratory examinations showed a suppressed renin level and an elevated serum aldosterone level. Computed tomography then revealed a right adrenal mass. The patient was treated with surgical resection of the adenoma. This case emphasizes the importance of meticulous search for secondary causes of hypertension, before the occurrence of serious complications.
authors.affiliation: Department of Cardiology, Siyami Ersek Cardiovascular and Thoracic Surgery Center, Istanbul, Turkey. dralper@hotmail.com
authors.forename: Alper
authors.initials: A
authors.lastname: Aydin
authors.forename: Ertan
authors.initials: E
authors.lastname: Okmen
authors.forename: Izzet
authors.initials: I
authors.lastname: Erdinler
authors.forename: Arda
authors.initials: A
authors.lastname: Sanli
authors.forename: Nese
authors.initials: N
authors.lastname: Cam
mesh_terms: D000236:Adenoma / Q000150:complications*; D000310:Adrenal Gland Neoplasms / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014693:Ventricular Fibrillation / Q000209:etiology*