Pheochromocytoma as a cause of repeated acute myocardial infarctions, heart failure, and transient erythrocytosis: A case report and review of the literature

doi:10.12998/wjcc.v9.i4.951

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Clin Cases. Feb 6, 2021; 9(4): 951-959
Published online Feb 6, 2021. doi: 10.12998/wjcc.v9.i4.951

Table 1 Laboratory test results of plasma and urinary catecholamines

Catecholamines	Plasma urine	Reference range
Free normetanephrine (NMN)	8590 pg/mL	< 145 pg/mL
Free metanephrine (MN)	1260 pg/mL	< 62 pg/mL
Free (NMN + MN)	9850 pg/mL	< 207 pg/mL
Normetanephrine (NMN)	6440 μg/24h	109-393 μg/24h
Metanephrine (MN)	1920 μg/24h	39-143 μg/24h
(NMN + MN)	8360 μg/24h	148-536 μg/24h
Free norepinephrine (NE)	7000 μg/24h	0-90 μg/24h
Free epinephrine (E)	676 μg/24h	0-20 μg/24h
Free dopamine (DA)	557 μg/24h	0-600 μg/24h

Table 2 Timeline

Date	Events
May 18, 2017	Retrosternal pain, palpitations, sweating, dizziness
May 20, 2017	Acute myocardial infarction
	An immense mass on the adrenal gland
	Paroxysmal hypertension
June 29, 2020	Acute myocardial infarction
	Heart failure
	Erythrocytosis
July 3, 2020	Pheochromocytoma was confirmed
July 9, 2020	Coronary angiogram showed nonobstructed coronary arteries
July 10, 2020	Hemoglobin level dropped to normal
August 15, 2020	At follow-up, no complaints, laboratory examinations improved

Citation: Shi F, Sun LX, Long S, Zhang Y. Pheochromocytoma as a cause of repeated acute myocardial infarctions, heart failure, and transient erythrocytosis: A case report and review of the literature. World J Clin Cases 2021; 9(4): 951-959
URL: https://www.wjgnet.com/2307-8960/full/v9/i4/951.htm
DOI: https://dx.doi.org/10.12998/wjcc.v9.i4.951