Open AccessAtrioventricular Dissociation due to Pheochromocytoma in a Young Adult
Author(s) -
Haine Steven E.,
Miljoen Hielko p.,
Blankoff Ivan,
Vrints Chris J.
Publication year - 2010
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.20645
Subject(s) - medicine , pheochromocytoma , atrioventricular block , cardiology , supraventricular arrhythmia , electrophysiology , dissociation (chemistry) , anesthesia , atrial fibrillation , chemistry
Atrioventriculardissociation can be amanifestationof an underlying noncardiacdisease.We present a patient who underwent pacemaker implantation because of intermittent atrioventricular dissociation and medically untreatable supraventricular arrhythmias, which could not be induced by electrophysiological testing. The arrhythmias proved to be due to a pheochromocytoma. After left adrenalectomy, both the supraventricular arrhythmias and the atrioventricular dissociation disappeared. Adequate recognition and treatment of pheochromocytoma can reverse atrioventricular dissociation and may avoid unnecessary procedures such as electrophysiological testing and pacemaker implantation.