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KMID : 0338419980130020117
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The Korean Journal of Internal Medicine
1998 Volume.13 No. 2 p.117 ~ p.122
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PHEOCHROMOCYTOMA COMPLICATED WITH CARDIOMYOPATHY AFTER DELIVERY- A Case Report and Literature Review -
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Duk Kyung Kim/Hyun Joong Kim
Duk Kyung Kim/Sang Chul Lee/Soon Ha Yang*/Jung Hyun Yang†/Won Ro Lee
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Abstract
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Pheochromocytoma in pregnancy is very rare but it is associated with very high maternal and fetal mortality. Therefore, it is important to include pheochromocytoma in the differential diagnosis of hypertension associated with pregnancy. It is difficult to make a diagnosis of pheochromocytoma in pregnancy before delivery. The characteristic symptoms of pheochromocytoma could be initiated during delivery because the process of delivery, general anesthesia, fetal movement, induce acute surge of catecholamine release, which could also induce cardiomyopathy. Early diagnosis and intensive care can affect the prognosis of cardiomyopathy induced by pheochromocytoma. Proper management with alpha-blockade, beta-blockade and angiotensin converting enzyme inhibitor could acutely reverse the course of cardiomyopathy.
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KEYWORD
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Pheochromocytoma, cardiomyopathy, pregnancy,
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