title: Pheochromocytoma supporting blood pressure in the setting of cardiogenic shock.
abstract: Sixty-seven-year-old male presented with abdominal pain, nausea, vomiting, and decreasing level of consciousness. He was tachycardic but not hypotensive. Computed tomography scan revealed a peripherally enhancing adrenal mass and evidence of low cardiac output state. He was admitted to the intensive care unit but expired within 12 h. Autopsy determined the cause of death as acute coronary insufficiency and identified the adrenal mass as a pheochromocytoma. The pheochromocytoma may have maintained blood pressure in the setting of cardiogenic shock and delayed diagnosis of myocardial infarction.
authors.affiliation: Emory University School of Medicine, Emory University Hospital Midtown, Department of Radiology, Emergency Radiology Division, 550 Peachtree St NE, Atlanta, GA 30308. Electronic address: ditkofsky@gmail.com.
authors.forename: Noah
authors.initials: N
authors.lastname: Ditkofsky
authors.affiliation: Memorial University of Newfoundland, Health Sciences Center, 300 Prince Phillip Drive, St. John's, NL, A1B 3V6, Canada. Electronic address: chad_workman@hotmail.com.
authors.forename: Chad
authors.initials: C
authors.lastname: Workman
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D000368:Aged; D001794:Blood Pressure / Q000502:physiology*; D057210:Delayed Diagnosis; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D010673:Pheochromocytoma / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D012770:Shock, Cardiogenic / Q000150:complications* / Q000473:pathology / Q000503:physiopathology
keywords: ACS; Adrenergic crisis; Cardiogenic shock; Myocardial infarction; Pheochromocytoma