title: Managing acute severe hypertension during coronary angiography: Lessons from a challenging case.
abstract: We report the clinical case of a 52-year-old man referred to our catheterization laboratory for an acute coronary syndrome. The coronary angiogram course was soon disrupted by a life-threatening blood pressure chaos lasting for hours. An abdominal paraganglioma was eventually diagnosed, requiring surgery. This case outlines the potential diagnosis and therapeutic missteps in managing such patients and suggests strategies for quick improvement.
authors.affiliation: a Diabetologie , Hôpital PZQ, CHU Martinique , Fort de France , Martinique ;
authors.forename: Audrey
authors.initials: A
authors.lastname: Zabulon
authors.affiliation: b Cardiologie , Hôpital PZQ, CHU Fort de France , Fort de France , Martinique ;
authors.forename: Nathalie
authors.initials: N
authors.lastname: Ozier-Lafontaine
authors.affiliation: a Diabetologie , Hôpital PZQ, CHU Martinique , Fort de France , Martinique ;|b Cardiologie , Hôpital PZQ, CHU Fort de France , Fort de France , Martinique ;|c Inserm, U1027 , Epidémiologie et analyses en santé publique: risques, maladies chroniques, handicaps , Toulouse , France.
authors.forename: Jocelyn
authors.initials: J
authors.lastname: Inamo
mesh_terms: D000005:Abdomen / Q000000981:diagnostic imaging / Q000601:surgery; D000008:Abdominal Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001794:Blood Pressure / Q000187:drug effects; D017023:Coronary Angiography; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010235:Paraganglioma / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed
keywords: Hypertensive crisis; blood pressure; coronary angiogram; paraganglioma; pheochromocytoma