Unexpected Triggers for Pheochromocytoma-Induced Recurrent Heart Failure

• Author(s): Pereira-da-Silva, T ; Abreu, J ; Ramos, R ; Galrinho, A ; Fortuna, P ; Jalles, N ; Cruz Ferreira, R
• Date: 2014
• Persistent ID: http://hdl.handle.net/10400.17/1855
• Origin: Repositório do Centro Hospitalar de Lisboa Central, EPE
• Subject(s): HSM CAR; Feocromocitoma; Gravidez; Choque Cardiogénico; Insuficiência Cardíaca
• Document Type: Article
• Language: English

Description

Pheochromocytoma crisis typically presents as paroxysmal episodes of headache, tachycardia, diaphoresis or hypertension. We describe an uncommon case of recurrent non-hypertensive heart failure with systolic dysfunction in a young female due to pheochromocytoma compression. It presented as acute pulmonary oedema while straining during pregnancy and later on as cardiogenic shock after a recreational body massage. Such crisis occurring during pregnancy is rare. Moreover, of the few reported cases of pheochromocytoma-induced cardiogenic shock, recreational body massage has not yet been reported as a trigger for this condition.