Phaeochromocytomas as a cause of hypotension
Abstract
A patient presented with apparent septicaemic shock. Full invasive cardiovascular monitoring revealed systemic hypotension, high normal cardiac output, and a low systemic vascular resistance. Maintenance of systemic vascular resistance and blood pressure was shown to be highly dependent on noradrenaline. Subsequent investigation revealed the presence of a phaeochromocytoma producing adrenaline. The mechanisms by which phaeochromocytomas may produce hypotension are discussed.
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Tumors that secrete only epinephrine may cause hypotension.
“Paradoxically, tumors that secrete only epinephrine may cause hypotension (191).”
From Adrenal incidentaloma (2020) · cites this paper as [191]
Cites
Pheochromocytoma with predominant epinephrine secretion
Page, L. B., Raker, J. W., & Berberich, F. R. (1969) · The American Journal of Medicine · doi:10.1016/0002-9343(69)90195-8 · Cited by 130 · see citing works
Noncardiogenic pulmonary edema as the sole manifestation of pheochromocytoma.
Leeuw, P. W. D., Waltman, F. L., & Birkenhäger, W. H. (1986) · Hypertension · doi:10.1161/01.hyp.8.9.810 · Cited by 70 · see citing works
Norepinephrine and epinephrine secretion from a clinically epinephrine-secreting pheochromocytoma
Aronoff, S. L., Passamani, E. R., Borowsky, B. A., et al. (1980) · The American Journal of Medicine · doi:10.1016/0002-9343(80)90392-7 · Cited by 51 · see citing works
Pheochromocytoma presenting with pulmonary edema and hyperamylasemia.
Munk, Z. M., Tolis, G., Jones, W., et al. (1977) · PubMed · Cited by 28 · see citing works
Phaeochromocytoma as a cause of pulmonary oedema
Blom, H. J., Karsdorp, V. H. M., Birnie, R. H., et al. (1987) · Anaesthesia · doi:10.1111/j.1365-2044.1987.tb03092.x · Cited by 19 · see citing works
Phaeochromocytoma associated with adult respiratory distress syndrome.
O'Hickey, S. P., Hilton, A. M., & Whittaker, J. S. (1987) · Thorax · doi:10.1136/thx.42.2.157 · Cited by 18 · see citing works
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Sherlock, M., Scarsbrook, A., Abbas, A., Fraser, S., Limumpornpetch, P., Dineen, R., & Stewart, P. M. (2020) · Endocrine Reviews · doi:10.1210/endrev/bnaa008 · Cited by 347 · see citing works
“In recent years, LC-MS/MS has also been used on serum samples to differentiate between benign and malignant adrenal disease (352,353).”
BackgroundMethodInfluential
- Authors
- Baxter, M. A., Hunter, P., Thompson, G. R., & London, D. R.
- Affiliations
- Birmingham General Hospital (GB)
- Royal Shrewsbury Hospital (GB)
- Corresponding author
- Baxter, M. A.
- ORCID
- Baxter, M. A.
- Venue
- Clinical Endocrinology
- Publisher
- Wiley
- Published
- 1992-09
- Volume
- 37
- Issue
- 3
- Pages
- 304-306
- ISSN
- 0300-0664 (ISSN-L)
- 1365-2265
- OpenAlex
- W2142335732
- Cited by
- 44
- References
- 7
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 2 · 2021: 3 · 2020: 5 · 2019: 1 · 2017: 1 · 2015: 1 · 2013: 1
- FWCI
- 0.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Adrenal and Paraganglionic Tumors
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal Regulation and Hypertension
- Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
- Keywords
- pheochromocytoma, hypotension, epinephrine, norepinephrine, systemic vascular resistance, cardiac output, septic shock mimic, catecholamine excess, hypotensive mechanism
- MeSH terms
- Adrenal Gland Neoplasms, Epinephrine, Humans, Hypotension, Male, Middle Aged, Pheochromocytoma
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