[1]王一平,周建中.嗜铬细胞瘤相关儿茶酚胺性心肌病的诊疗研究[J].医学信息,2022,35(07):49-54.[doi:10.3969/j.issn.1006-1959.2022.07.013]
 WANG Yi-ping,ZHOU Jian-zhong.Diagnosis and Treatment of Pheochromocytoma-associated Catecholamine Cardiomyopathy[J].Medical Information,2022,35(07):49-54.[doi:10.3969/j.issn.1006-1959.2022.07.013]
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嗜铬细胞瘤相关儿茶酚胺性心肌病的诊疗研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年07期
页码:
49-54
栏目:
综述
出版日期:
2022-04-01

文章信息/Info

Title:
Diagnosis and Treatment of Pheochromocytoma-associated Catecholamine Cardiomyopathy
文章编号:
1006-1959(2022)07-0049-06
作者:
王一平周建中
(重庆医科大学附属第一医院心内科,重庆 400016)
Author(s):
WANG Yi-pingZHOU Jian-zhong
(DepartmentofCardiology,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)
关键词:
嗜铬细胞瘤儿茶酚胺性心肌病儿茶酚胺
Keywords:
PheochromocytomaCatecholaminecardiomyopathyCatecholamine
分类号:
R542.2
DOI:
10.3969/j.issn.1006-1959.2022.07.013
文献标志码:
A
摘要:
嗜铬细胞瘤/副神经节瘤分泌的超生理剂量的儿茶酚胺可导致儿茶酚胺性心肌病,该病起病急,临床表现复杂,易快速进展为多脏器衰竭,且早期非特异性辅助检查导致的误诊率较高,因此需要临床医生通过严格的逻辑思维进行鉴别诊断。本文就嗜铬细胞瘤/副神经节瘤相关的儿茶酚胺性心肌病的发病机制、临床表现、辅助检查以及治疗预后等方面进行综述,以期为尽早识别并诊治该疾病,避免延误病情提供帮助。
Abstract:
Hyperphysiological doses of catecholamine secreted by pheochromocytoma/paraganglioma can lead to catecholamine-induced cardiomyopathy. The disease is characterized by acute onset, complex clinical manifestations, and easy to rapidly develop into multiple organ failure. The misdiagnosis rate caused by early nonspecific auxiliary examination is high. Therefore, clinicians need to carry out differential diagnosis through strict logical thinking. This article reviews the pathogenesis, clinical manifestations, auxiliary examination and treatment prognosis of catecholamine cardiomyopathy associated with pheochromocytoma/paraganglioma, in order to help identify and diagnose the disease as soon as possible and avoid delaying the disease.

参考文献/References:

[1]Gagnon N,Mansour S,Bitton Y,et al.Takotsubo-like cardiomyopathy in a large cohort of patients with pheochromocytoma and paraganalioma[J].Endocrine Practice,2017,23(10):1178-1192.[2]Lenders JW,Eisenhofer G,Mannelli M,et al.Phaeochromocytoma[J].Lancet,2005,366(9486):665-675.[3]Ghadri JR,Wittstein IS,Prasad A,et al.International expert consensus document on takotsubo syndrome (part I):clinical characteristics, diagnostic criteria, and pathophysiology[J].Eur Heart J,2018,39(22):2032-2046.[4]Akashi YJ,Ishihara M.Takotsubo syndrome: insights from Japan[J].Heart Fail Clin,2016,12(4):587-595.[5]Zhang R,Gupta D,Albert SG.Pheochromocytoma as a reversible cause of cardiomyopathy: analysis and review of the literature[J].Int J Cardiol,2017(249):319-323.[6]Y-Hassan S,Falhammar H.Cardiovascular manifestations and complications of pheochromocytomas and paragangliomas[J].J Clin Med,2020,9(8):E2435.[7]Pelliccia F,Sinagra G,Elliott P,et al.Takotsubo is not a cardiomyopathy[J].Int J Cardiol,2018(254):250-253.[8]Batisse-Lignier M,Pereira B,Motreff P,et al.Acute and chronic pheochromocytoma-induced cardiomyopathies: different prognoses? : asystematic analytical review[J].Medicine(Baltimore),2015,94(50):e2198.[9]Madias JE.Potential drugs for the management of patients with takotsubo syndrome[J].Int J Cardiol,2016(221):12-13.[10]Nef HM,Mollmann H,Kostin S,et al.Tako-Tsubo cardiomyopathy: intraindividual structural analysis in the acute phase and after functional recovery[J].Eur Heart J,2007,28(20):2456-2464.[11]Gianni M,Dentali F,Grandi AM,et al.Apical ballooning syndrome or takotsubo cardiomyopathy: a systematic review[J].EurHeart J,2006,27(13):1523-1529.[12]Santos JRU,Brofferio A,Viana B,et al.Catecholamine-induced cardiomyopathy in pheochromocytoma: how to manage a rare complication in a rare disease?[J].Horm Metab,2019,51(7):458-469.[13]Goico A,Chandrasekaran M,Herrera CJ.Novel developments in stress cardiomyopathy: from pathophysiology to prognosis[J].Int J Cardiol,2016(223):1053-1058.[14]Christensen TE,Bang LE,Holmvang L,et al.123I-MIBG scintigraphy in the subacute state of takotsubo cardiomyopathy[J].JACC Cardiovasc Imaging,2016,9(8):982-990.[15]Agrawal S,Shirani J,Garg L,et al.Pheochromocytoma and stress cardiomyopathy: insight into pathogenesis[J].World J Cardiol,2017,9(3):255-260.[16]Kastaun S,Gerriets T,Tschernatsch M,et al.Psychosocial and psychoneuroendocrinal aspects of Takotsubo syndrome[J].Nat Rev Cardiol,2016,13(11):688-694.[17]Chen WG,Dilsizian V.Cardiac sympathetic disturbance in takotsubo cardiomyopathy: primary etiology or a compensatory response to heart failure?[J].JACC Cardiovasc Imaging,2016,9(8):991-993.[18]Chow LTC,Chow MBCY.Coronary artery myointimal dysplasia in patients with pheochromocytoma-possible causal relationship: pathophysiology and clinical implication with reference to Takotsubo cardiomyopathy and spontaneous coronary dissection[J].Cardiovasc Pathol,2018(37):45-53.[19]Loffi M,Santangelo A,Kozel M,et al.Takotsubo cardiomyopathy: one more angiographic evidence of microvascular dysfunction[J].Biomed Res Int,2018(2018):5281485.[20]Akashi YJ,Nef HM,Lyon AR.Epidemiology and pathophysiology of takotsubo syndrome[J].Nat Rev Cardiol,2015,12(7):387-397.[21]Tanabe Y,Akashi YJ.Improving the understanding of Takotsubo syndrome: consequences of diagnosis and treatment[J].Expert Rev Cardiovasc Ther,2016,14(6):737-748.[22]Agarwal V,Kant G,Hans N,et al.Takotsubo-like cardiomyopathy in pheochromocytoma[J].Int J Cardiol,2011,153(3):241-248.[23]Agarwal G,Sadacharan D,Kapoor A,et al.ardiovascular dysfunction and catecholamine cardiomyopathy in pheochromocytoma patients and their reversal following surgical cure: results of a prospective case-control study[J].Surgery,2011,150(6):1202-1211.[24]Amin HZ,Amin LZ,Pradipta A.Takotsubo cardiomyopathy: abrief review[J].J Med Life,2020,13(1):3-7.[25]Kosuge M,Ebina T,Hibi K,et al.Simple and accurate electrocardiographic criteria to differentiate takotsubo cardiomyopathy from anterior acute myocardial infarction[J].J Am Coll Cardiol,2010,55(22):2514-2516.[26]Giavarini A,Chedid A,Bobrie G,et al.Acute catecholamine cardiomyopathy in patients with phaeochromocytoma or functional paraganglioma[J].Heart,2013,99(19):1438-1444.[27]Chlus N,Cavayero C,Kar P,et al.Takotsubo cardiomyopathy: case series and literature review[J].Cureus,2016,8(6):e649.[28]Ferreira VM,Marcelino M,Piechnik SK,et al.Pheochromocytoma is characterized by catecholamine-mediated myocarditis, focal and diffuse myocardial fibrosis, and myocardial dysfunction[J].J Am Coll Cardiol,2016,67(20):2364-2374.[29]Morley-Smith AC,Lyon AR.Challenges of chronic cardiac problems in survivors of takotsubo syndrome[J].Heart Fail Clin,2016,12(4):551-557.[30]Moscatelli S,Montecucco F,Carbone F,et al.An emerging cardiovascular disease: takotsubo syndrome[J].Biomed Res Int,2019(2019):6571045.[31]Otusanya O,Goraya H,Iyer P,et al.A vicious cycle of acute catecholamine cardiomyopathy and circulatory collapse secondary to pheochromocytoma[J].Oxf Med Case Reports,2015,2015(10):343-345.[32]Y-Hassan S.Clinical features and outcome of epinephrine-induced takotsubo syndrome: analysis of 33 published cases[J].Cardiovasc Revasc Med,2016,17(7):450-455.[33]Lenders JW,Duh QY,Eisenhofer G,et al.heochromocytoma and paraganglioma: an endocrine society clinical practice guideline[J].J Clin Endocrinol Metab,2014,99(6):1915-1942.

更新日期/Last Update: 1900-01-01