open access

Vol 66, No 1 (2008)
Other
Published online: 2008-02-04
Submitted: 2012-12-28
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Case report
Acute coronary syndrome induced by hypoglycaemiain the course of insulinoma - a case report

Andrzej Curzytek, Krzysztof Gutkowski, Justyna Barwinek, Arkadiusz Widuliński, Tomasz Bilkiewicz, Wojciech Lubas, Wiesław Guz
Kardiol Pol 2008;66(1):67-69.

open access

Vol 66, No 1 (2008)
Other
Published online: 2008-02-04
Submitted: 2012-12-28

Abstract

Insulinoma is the most frequent endocrine tumour of the pancreas derived from the beta cells which, while retaining the abilityto synthesise and secrete insulin, is autonomous from the normal feedback mechanisms. The characteristic clinical manifestationof this neoplasm is fasting hypoglycaemia, with sympathoadrenal and neuroglycopenic symptoms. In extremely rare cases insulinoma can be a cause of acute coronary syndrome. Surgical removal is the treatment of choice and recurrences are uncommon. We report a case of a 74-year-old man with acute coronary syndrome caused by adrenergic stimulation during severe hypoglycaemic seizures in the course of insulinoma.

Abstract

Insulinoma is the most frequent endocrine tumour of the pancreas derived from the beta cells which, while retaining the abilityto synthesise and secrete insulin, is autonomous from the normal feedback mechanisms. The characteristic clinical manifestationof this neoplasm is fasting hypoglycaemia, with sympathoadrenal and neuroglycopenic symptoms. In extremely rare cases insulinoma can be a cause of acute coronary syndrome. Surgical removal is the treatment of choice and recurrences are uncommon. We report a case of a 74-year-old man with acute coronary syndrome caused by adrenergic stimulation during severe hypoglycaemic seizures in the course of insulinoma.
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Keywords

acute coronary syndrome; insulinoma; hypoglycaemia; neuroglycopenia

About this article
Title


Case report
Acute coronary syndrome induced by hypoglycaemiain the course of insulinoma - a case report

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 66, No 1 (2008)

Pages

67-69

Published online

2008-02-04

Bibliographic record

Kardiol Pol 2008;66(1):67-69.

Keywords

acute coronary syndrome
insulinoma
hypoglycaemia
neuroglycopenia

Authors

Andrzej Curzytek
Krzysztof Gutkowski
Justyna Barwinek
Arkadiusz Widuliński
Tomasz Bilkiewicz
Wojciech Lubas
Wiesław Guz

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