PHEOCHROMOCYTOMA PRESENTING AS ACUTE CORONARY SYNDROME IN AN ELDERLY PATIENT: A CASE REPORT FROM THONG NHAT HOSPITAL

Nguyễn Ngô Gia Phúc 1 , , Lâm Thành Vĩ 1 , Lý Văn Quảng 2 , Huỳnh Tấn Hùng 3 , Hạ Kỳ Văn 2 , Nguyễn Đỗ Huy Hoàng 2 , Đỗ Võ Công Nguyên 4 , Nguyễn Thị Mai Hương 5 , Nguyễn Thanh Huân 6
1 Bộ môn Lão khoa, Đại học Y Dược TP. Hồ Chí Minh, Việt Nam
2 Khoa Ngoại thận–Tiết niệu, Bệnh viện Thống Nhất, TP. Hồ Chí Minh, Việt Nam
3 Khoa Nội tiết, Bệnh viện Thống Nhất, TP. Hồ Chí Minh, Việt Nam
4 Khoa Chẩn đoán hình ảnh, Bệnh viện Thống Nhất, TP. Hồ Chí Minh, Việt Nam
5 Khoa Giải Phẫu Bệnh, Bệnh viện Thống Nhất, TP. Hồ Chí Minh, Việt Nam
6 Bộ môn Lão khoa, Đại học Y Dược TP. Hồ Chí Minh, Việt Nam; Khoa Nội Tim mạch, Bệnh viện Thống Nhất, TP. Hồ Chí Minh, Việt Nam
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DOI
10.63947/bvtn.v1i3.21
Published
2025-07-10
Issue Vol. 1 No. 3 (2025): Adapting to the trend of population aging and an aged population
Section
Case Report
Categories
Research

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1.
Phúc NNG, Thành Vĩ L, Văn Quảng L, Tấn Hùng H, Kỳ Văn H, Đỗ Huy Hoàng N, Võ Công Nguyên Đỗ, Thị Mai Hương N, Thanh Huân N. PHEOCHROMOCYTOMA PRESENTING AS ACUTE CORONARY SYNDROME IN AN ELDERLY PATIENT: A CASE REPORT FROM THONG NHAT HOSPITAL. JHA [Internet]. Vietnam; 2025 Jul. 10 [cited 2025 Jul. 22];1(3):136–141. https://tcsuckhoelaohoa.vn/bvtn/article/view/29 doi: 10.63947/bvtn.v1i3.21
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Abstract

Pheochromocytoma is a rare endocrine cause of secondary hypertension. The definitive diagnosis requires a combination of biochemical testing and imaging studies. Management of pheochromocytoma-induced hypertension involves appropriate pharmacologic therapy followed by surgical resection of the adrenal tumor. In this report, we present the case of an elderly patient who was admitted with chest pain and initially diagnosed with acute coronary syndrome. However, invasive coronary angiography revealed no significant stenosis. Subsequent investigations confirmed the diagnosis of pheochromocytoma. The patient underwent successful medical stabilization and surgical removal of the tumor. This case highlights the importance of multidisciplinary collaboration in the diagnosis and treatment of pheochromocytoma at Thong Nhat Hospital.

Keywords

bệnh nhân cao tuổi u tủy thượng thận tăng huyết áp

References

  1. Tsirlin A, Oo Y, Sharma R, Kansara A, Gliwa A, Banerji MA. Pheochromocytoma: A review. Maturitas. 2014;77(3):229-38. doi: https://doi.org/10.1016/j.maturitas.2013.12.009. DOI: https://doi.org/10.1016/j.maturitas.2013.12.009
  2. Neumann Hartmut PH, Young William F, Eng C. Pheochromocytoma and Paraganglioma. New England Journal of Medicine. 2019;381(6):552-65. doi: 10.1056/NEJMra1806651.
  3. Lenders JW, Duh QY, Eisenhofer G, Gimenez-Roqueplo AP, Grebe SK, Murad MH, et al. Pheochromocytoma and paraganglioma: an endocrine society clinical practice guideline. The Journal of clinical endocrinology and metabolism. 2014;99(6):1915-42. Epub 2014/06/04. doi: 10.1210/jc.2014-1498. DOI: https://doi.org/10.1210/jc.2014-1498
  4. Neumann HP, Young Jr WF, Eng C. Pheochromocytoma and paraganglioma. New England journal of medicine. 2019;381(6):552-65. doi: 10.1056/NEJMra1806651. DOI: https://doi.org/10.1056/NEJMra1806651
  5. Karatzia L, De Palma R. Case of pheochromocytoma mimicking MINOCA. BMJ Case Reports CP. 2021;14(6):e239761. doi: 10.1136/bcr-2020-239761. DOI: https://doi.org/10.1136/bcr-2020-239761
  6. Tamis-Holland JE, Jneid H, Reynolds HR, Agewall S, Brilakis ES, Brown TM, et al. Contemporary diagnosis and management of patients with myocardial infarction in the absence of obstructive coronary artery disease: a scientific statement from the American Heart Association. Circulation. 2019;139(18):e891-e908. https://doi.org/10.1161/CIR.0000000000000670 DOI: https://doi.org/10.1161/CIR.0000000000000670
  7. Y-Hassan S, Falhammar H. Cardiovascular manifestations and complications of pheochromocytomas and paragangliomas. Journal of clinical medicine. 2020;9(8):2435. doi: 10.3390/jcm9082435. DOI: https://doi.org/10.3390/jcm9082435
  8. Nölting S, Bechmann N, Taieb D, Beuschlein F, Fassnacht M, Kroiss M, et al. Personalized management of pheochromocytoma and paraganglioma. Endocrine reviews. 2022;43(2):199-239. doi: 10.1210/endrev/bnab019. DOI: https://doi.org/10.1210/endrev/bnab019

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