{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:02:42Z","timestamp":1756339362080,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,3,3]]},"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>Phaeochromocytomas are rare neuroendocrine tumours, which can significantly increase the risk of cardiovascular morbidity and mortality. They are also recognised as \u2018the great mimic\u2019 and can present in many ways. A 42-year-old male patient presented with a non-ST elevation acute coronary syndrome and was medically treated pending an invasive coronary angiogram. During this procedure, he suffered a profound, symptomatic hypertensive surge documented with invasive pressure monitoring. This raised concern for potential secondary causes of hypertension, particularly given his age. He was subsequently diagnosed with a phaeochromocytoma, and after surgical resection of the tumour, his blood pressure control improved and he remains on single therapy only. As clinicians, it is important to remain alert for previously undiagnosed comorbidities contributing to common pathology, including rare, but life-threatening conditions as we present in this case.<\/jats:p>","DOI":"10.1136\/bcr-2020-240933","type":"journal-article","created":{"date-parts":[[2021,3,22]],"date-time":"2021-03-22T13:11:29Z","timestamp":1616418689000},"page":"e240933","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Acute coronary syndrome leading to a new diagnosis of phaeochromocytoma following a profound intraprocedural hypertensive surge"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8753-1343","authenticated-orcid":false,"given":"John","family":"Graby","sequence":"first","affiliation":[{"name":"Department of Cardiology, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zi Wei","family":"Goh","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naik","family":"Haya","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Carson","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,3,22]]},"reference":[{"key":"2025082700165613000_14.3.e240933.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67139-5"},{"key":"2025082700165613000_14.3.e240933.2","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-15-0483"},{"key":"2025082700165613000_14.3.e240933.3","article-title":"2020 ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation","author":"Collet","year":"2020","journal-title":"Eur Heart J"},{"key":"2025082700165613000_14.3.e240933.4","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1177\/0004563217739931","article-title":"Clinical evaluation and treatment of phaeochromocytoma","volume":"55","author":"Davison","year":"2018","journal-title":"Ann Clin Biochem"},{"key":"2025082700165613000_14.3.e240933.5","doi-asserted-by":"publisher","DOI":"10.1111\/cen.12324"},{"key":"2025082700165613000_14.3.e240933.6","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2014-1498"},{"key":"2025082700165613000_14.3.e240933.7","doi-asserted-by":"crossref","first-page":"2284","DOI":"10.1097\/HJH.0000000000001961","article-title":"2018 practice guidelines for the management of arterial hypertension of the European Society of cardiology and the European Society of hypertension","volume":"36","author":"Williams","year":"2018","journal-title":"J Hypertens"},{"key":"2025082700165613000_14.3.e240933.8","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1016\/j.surg.2020.08.027","article-title":"Probability of positive genetic testing in patients diagnosed with pheochromocytoma and paraganglioma: criteria beyond a family history","volume":"169","author":"Alobuia","year":"2021","journal-title":"Surgery"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-240933","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:17:08Z","timestamp":1756279028000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-240933"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3]]},"references-count":8,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,3,22]]},"published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1136\/bcr-2020-240933"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-240933","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,3]]}}}