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July 27, 2026JCEM Case ReportsOpen Access

Cardiogenic shock due to pheochromocytoma-induced catecholamine crisis in a young woman

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Population

One 30-year-old woman presenting with vomiting, hyperglycemia, and shock

Design

Case report

Key result

Pheochromocytoma-induced catecholamine crisis presenting as cardiogenic shock was successfully treated with adrenalectomy, resulting in full recovery of cardiac function.

Authors

TLThirza van der LindenBDBjorn DumontYAYalin Acardag

Discussion

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Overview

Pheochromocytoma may warrant consideration in unexplained cardiogenic shock; this case extends the phenotypic spectrum but leaves open broader applicability.

Key Points

  • To present a case of cardiogenic shock due to a pheochromocytoma and discuss its unusual presentation and management.
  • Described clinical presentation and course of treatment of a 30-year-old woman with shock and cardiac arrest after catecholamine crisis.
  • Utilized imaging techniques to identify adrenal mass and measured plasma levels of metanephrines for diagnosis.
  • Provided α- and β-adrenergic blockade followed by adrenalectomy to manage the condition.
  • Patient stabilized after adrenergic blockade and successful adrenalectomy.
  • Postoperative recovery led to full restoration of cardiac function.
  • Diagnosis confirmed through elevated plasma metanephrines and pathological examination of removed adrenal mass.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A previously healthy 30-year-old woman presenting with cardiogenic shock due to a pheochromocytoma-induced catecholamine crisis.
E
Exposure
Stabilization with α- and β-adrenergic blockade followed by adrenalectomy
O
Outcome
Recovery of cardiac function

Highlights the rare presentation of pheochromocytoma as cardiogenic shock and the reversible nature of catecholamine-induced cardiomyopathy following appropriate blockade and tumor resection.

Cite This Study

Linden et al. (2026) conducted a case report in Cardiogenic shock due to pheochromocytoma-induced catecholamine crisis (n=1). Pheochromocytoma-induced catecholamine crisis was evaluated on Clinical outcome and cardiac function recovery. Pheochromocytoma-induced catecholamine crisis presenting as cardiogenic shock was successfully treated with adrenalectomy, resulting in full recovery of cardiac function.

synapsesocial.com/papers/6a6794fcbb2605d1235fba4ehttps://doi.org/10.1210/jcemcr/luag199
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