Thinking outside the heart: pheochromocytoma as a rare cause of dilated cardiomyopathy

Published:December 22, 2022DOI:
      A 42-year-old woman presented to the emergency department with a two-week history of progressive dyspnoea. She also described paroxysmal episodes of palpitations, sweating and nervousness within the last months. Physical examination revealed jugular venous engorgement, painful hepatomegaly, and bilateral lung crackles.


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        • Lenders JW
        • Eisenhofer G
        • Mannelli M
        • Phaeochromocytoma Pacak K.
        Lancet. 2005; 366: 665-675
        • Japp AG
        • Gulati A
        • Cook SA
        • Cowie MR
        • Prasad SK.
        The diagnosis and evaluation of dilated cardiomyopathy.
        J Am Coll Cardiol. 2016; 67: 2996-3010
        • Ferreira VM
        • Marcelino M
        • Piechnik SK
        • et al.
        Pheochromocytoma is characterized by catecholamine-mediated myocarditis, focal and diffuse myocardial fibrosis, and myocardial dysfunction.
        J Am Coll Cardiol. 2016; 67: 2364-2374