[Acute coronary syndrome induced by hypoglycemia in the course of insulinoma--a case report].
Insulinoma is the most frequent endocrine tumour of the pancreas derived from the beta cells which, while retaining the ability to synthesise and secrete insulin, is autonomous from the normal feedback mechanisms. The characteristic clinical manifestation of this neoplasm is fasting hypoglycaemia, with sympathoadrenal and neuroglycopenic symptoms. In extremely rare cases insulinoma can be a cause of acute coronary syndrome. Surgical removal is the treatment of choice and recurrences are uncommon. We report a case of a 74-year-old man with acute coronary syndrome caused by adrenergic stimulation during severe hypoglycaemic seizures in the course of insulinoma.
Curzytek
Andrzej
A
Oddział Chorób Wewnetrznych z Pododdziałem Intensywnej Opieki Kardiologicznej Szpitala MSWiA, ul. Krakowska 16, 35-111 Rzeszów. acurzytek@tlen.pl
Gutkowski
Krzysztof
K
Barwinek
Justyna
J
Widuliński
Arkadiusz
A
Bilkiewicz
Tomasz
T
Lubas
Wojciech
W
Guz
Wiesław
W
D054058:Acute Coronary Syndrome / Q000209:etiology*; D000368:Aged; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology*; D007340:Insulinoma / Q000150:complications* / Q000601:surgery; D008297:Male; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000601:surgery; D016896:Treatment Outcome