title: Pheochromocytoma presenting as a mimic of acute coronary syndrome.
abstract: Chest pain with elevated serum troponin is a common clinical presentation and is normally managed as suspected myocardial infarction or acute coronary syndrome (ACS). We report a 49 year old man who presented with central chest pain sweating and breathlessness. He had a significantly elevated serum troponin I level and a subsequent angiogram showed near normal coronary arteries. He was subsequently investigated for fever and found to have a 3cm right sided adrenal mass consistent with a pheochromocytoma. After confirmation and appropriate blockade laparoscopic adrenalectomy was performed. Pheochromocytoma may present as a mimic of acute coronary syndrome but this is often unrecognized and leaves the patient at risk of future pheo crisis events which may be fatal.
authors.affiliation: King's College Hospital, Denmark Hill, London.
authors.forename: Yasmin
authors.initials: Y
authors.lastname: Hakim
authors.affiliation: King's College Hospital, Denmark Hill, London.
authors.forename: Anna
authors.initials: A
authors.lastname: Forbes
authors.affiliation: King's College Hospital, Denmark Hill, London.
authors.forename: Momina
authors.initials: M
authors.lastname: Khan
authors.affiliation: King's College Hospital, Denmark Hill, London.
authors.forename: Benjamin C
authors.initials: BC
authors.lastname: Whitelaw
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis* / Q000000981:diagnostic imaging; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D000072226:Computed Tomography Angiography / Q000379:methods; D017023:Coronary Angiography / Q000379:methods; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000175:diagnosis / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010673:Pheochromocytoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D018570:Risk Assessment; D016896:Treatment Outcome; D019210:Troponin I / Q000097:blood*
chemical_list: D019210:Troponin I