Evidence map›Paper›PMID 39675806›Full record

ArticleBMJ case reports2024

Phaeochromocytoma mimicking acute ST-elevation myocardial infarction.

Theresa Ackfeld, Hadrien Beuret, Francesca Mosar, Stephane Cook

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Theresa AckfeldGeneral Internal Medicine, Université de Fribourg Faculté de médecine, Fribourg, Switzerland.
Hadrien BeuretCardiology, Université de Fribourg Faculté de médecine, Fribourg, Switzerland.
Francesca MosarGeneral Internal Medicine, Université de Fribourg Faculté de médecine, Fribourg, Switzerland.
Stephane CookCardiology, Université de Fribourg Faculté de médecine, Fribourg, Switzerland Stephane.cook@unifr.ch.ORCID http://orcid.org/0000-0002-8337-4053

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Phaeochromocytomas are rare catecholamine-secreting tumours, usually benign, originating from chromaffin cells of the adrenal glands. Their typical presentation includes the triad of headaches, sweating and tachycardia due to excessive catecholamine release. However, many patients do not exhibit all three symptoms, making diagnosis challenging. A significant proportion of cases (around 40%) are linked to genetic disorders. Cardiac complications, including life-threatening events, are common.This report details the case of a 43-year-old woman presenting with chest pain, headaches and diaphoresis. Initial ECG showed an anterolateral ST-elevation myocardial infarction pattern, but coronary angiography revealed no arterial disease. The left ventricular angiogram indicated apical ballooning. Elevated blood pressure prompted suspicion of phaeochromocytoma, which was confirmed through positive metanephrine tests.The tumour, located in the right adrenal gland, was successfully removed laparoscopically, and pathological examination confirmed the diagnosis.Phaeochromocytoma should be suspected in patients with unexplained myocardial infarction, labile hypertension and normal coronary arteries, as beta-blockers can be harmful if used in untreated cases.

Indexed as

Adrenal Gland NeoplasmsElectrocardiographyPheochromocytomaST Elevation Myocardial InfarctionAdultChest PainCoronary AngiographyDiagnosis, DifferentialFemaleHeadacheHumansEndocrine cancerGeneral surgeryInterventional cardiologyIschaemic heart disease

Identifiers

PMID39675806
PMCPMC11647076

What Socratic holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.