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首页> 外文期刊>European Heart Journal - Case Reports >Hypertensive crisis during catheter ablation of atrial fibrillation in a patient with undiagnosed pheochromocytoma: a case report
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Hypertensive crisis during catheter ablation of atrial fibrillation in a patient with undiagnosed pheochromocytoma: a case report

机译：未确诊嗜铬细胞瘤患者房颤导管消融期间的高血压危象：一例报告

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Introduction Pheochromocytoma is an unusual cause of hypertension accounting for 0.1% of cases. As the development of atrial fibrillation (AF) is tightly associated with hypertension, patients with pheochromocytoma are at higher risk for AF. Case presentation A 72-year-old woman with undiagnosed pheochromocytoma underwent catheter ablation of drug-resistant AF. Procedure-related external factors, such as prescription of a beta blocker without the preventive administration of an alpha blocker, use of contrast medium, administration of anaesthetics, and emotional and pain-related stress, caused a hypertensive crisis with acute left ventricular dysfunction during ablation procedure. After surgical resection of the adrenal tumour, sinus rhythm was maintained without antiarrhythmic drugs. Discussion Because hypertensive crisis can lead to life-threatening organ damage, electrophysiologists seeing patients with AF should always consider pheochromocytoma as a mechanism of hypertension and AF before proceeding to catheter ablation of the AF.
机译：引言嗜铬细胞瘤是高血压的不寻常原因，占病例的0.1％。由于房颤（AF）的发展与高血压密切相关，因此嗜铬细胞瘤患者的房颤风险更高。病例介绍一名72岁未诊断为嗜铬细胞瘤的妇女接受了抗药性房颤的导管消融术。与手术相关的外部因素，例如在没有预防性地使用α受体阻滞剂的情况下处方β受体阻滞剂，使用造影剂，麻醉剂的使用以及与情绪和疼痛有关的压力，引起了高血压危象，并在消融期间引起了急性左心功能不全程序。手术切除肾上腺肿瘤后，维持窦性心律，无需使用抗心律不齐药物。讨论由于高血压危象可导致威胁生命的器官损害，因此电生理学家认为患有房颤的患者在进行房颤消融之前应始终将嗜铬细胞瘤视为高血压和房颤的一种机制。

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