Tachyarrythmias with elevated cardiac enzymes in Münchausen syndrome.
We report the case of a woman with Münchausen syndrome who surreptitiously injected epinephrine causing recurrent ventricular tachyarrhythmias accompanied by dramatically high plasma levels of epinephrine and normal norepinephrine levels.
Norcliffe-Kaufmann
Lucy
L
Department of Physiology and Neuroscience, Dysautonomia Center, New York University, 530 First Avenue, Suite 9Q, New York, NY 10016, USA. Lucy.Norcliffe-Kaufmann@nyumc.org
Gonzalez-Duarte
Alejandra
A
Martinez
Jose
J
Kaufmann
Horacio
H
D000310:Adrenal Gland Neoplasms / Q000097:blood; D000328:Adult; D003937:Diagnosis, Differential; D004837:Epinephrine / Q000008:administration & dosage / Q000009:adverse effects / Q000097:blood; D005260:Female; D006331:Heart Diseases / Q000201:enzymology*; D006801:Humans; D009110:Munchausen Syndrome / Q000175:diagnosis*; D009638:Norepinephrine / Q000097:blood; D010673:Pheochromocytoma / Q000097:blood; D017180:Tachycardia, Ventricular / Q000175:diagnosis* / Q000201:enzymology*
D009638:Norepinephrine; D004837:Epinephrine