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Indian Heart J. 2012 Mar-Apr;64(2):203-5. doi: 10.1016/S0019-4832(12)60063-7. Epub 2012 Apr 28.

Extra-adrenal phaeochromocytoma-a case report of refractory hypertension.

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  • 1Department of Medicine, Postgraduate Institute of Medical Education and Research, New Delhi, India. drvps78@yahoo.co.in


There are at least 5% of all hypertensive patients whose blood pressure (BP) remains elevated despite adequate treatment. In these cases, the clinician is forced to search for a secondary cause of the chronic BP elevation. Certain environmental factors are known to induce resistant-hypertension. Additionally, there may be pseudo-resistance occurring or the patient may be suffering from a secondary form of hypertension such as renovascular or endocrinological hypertension (phaeochromocytoma, Cushing's syndrome, etc.). We report a case of extra-adrenal phaeochromocytoma who was on adequate antihypertensive medications but remained refractory to treatment prior to the exact diagnosis.

Copyright © 2012 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.

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