著者
KANJI IGA HIROMITSU GEN GO TOMONAGA TADASHI MATSUMURA KENJIRO HORI
出版者
The Japanese Circulation Society
雑誌
JAPANESE CIRCULATION JOURNAL (ISSN:00471828)
巻号頁・発行日
vol.53, no.7, pp.813-818, 1989-07-20 (Released:2008-04-14)
参考文献数
15
被引用文献数
35 41

Excessive catecholamine levels can cause myocardial damage in experimental animals. Similar observations have been made in humans following autopsy for pheochromocytoma. However, whether catecholamine crises are reversible or not remains uncertain. We report here a case in which pheochromocytoma manifested as acute pulmonary edema during an operation. Serial echocardiograms revealed that the depressed motion of the left ventricular wall was reversed after tumor removal. The plasma catecholamine level was extraordinarily high during the episode of acute pulmonary edema, and it seems that catecholamines in high concentration can directly damage the myocardium.

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伊賀先生は、「心臓もARDSの肺障害のように、何らかの代謝性、液性因子のターゲットになって障害を受けるんだ。」と力説しておられ、論文"REVERSIBLE LEFT VENTRICULAR WALL MOTION IMPAIRMENT CAUSED BY PHEOCHROMOCYTOMA : A Case Report"を発表されていました。https://t.co/nmJKRAsyMS(つづく)

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