{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T05:46:32Z","timestamp":1782539192799,"version":"3.54.5"},"reference-count":0,"publisher":"Instituto Nacional Cardovascular - Carlos Alberto Peschiera Carrillo","issue":"1","license":[{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Peru Cardiol Cir Cardiovasc"],"abstract":"<jats:p>El feocromocitoma es un tumor neuroendocrino productor de catecolaminas cuya presentaci\u00f3n cl\u00ednica puede simular un s\u00edndrome coronario agudo y representar un reto diagn\u00f3stico en la cardiolog\u00eda cl\u00ednica. Presentamos el caso de un var\u00f3n de 63 a\u00f1os con dolor precordial intermitente, hipertensi\u00f3n parox\u00edstica e incremento leve de troponinas. Fue referido a nuestra instituci\u00f3n con diagn\u00f3stico de s\u00edndrome coronario agudo. Los electrocardiogramas de ingreso no evidenciaron signos de isquemia aguda; el ecocardiograma transtor\u00e1cico no mostr\u00f3 trastornos segmentarios de motilidad. Se propuso una estratificaci\u00f3n isqu\u00e9mica no invasiva. Previo a la angiograf\u00eda coronaria por tomograf\u00eda computarizada (CCTA), se administr\u00f3 propranolol, tras lo cual el paciente desarroll\u00f3 crisis hipertensiva y dolor precordial. El mismo episodio se present\u00f3 luego de una segunda dosis de betabloqueador. La CCTA no identific\u00f3 estenosis coronarias significativas. Ante la sospecha de feocromocitoma, la tomograf\u00eda abdominal con contraste mostr\u00f3 un n\u00f3dulo suprarrenal izquierdo y en la orina se identificaron metanefrinas elevadas. Se realiz\u00f3 una adrenalectom\u00eda y la histopatolog\u00eda confirm\u00f3 un feocromocitoma benigno. El paciente evolucion\u00f3 favorablemente, asintom\u00e1tico hasta la fecha.<\/jats:p>","DOI":"10.47487\/apcyccv.v7i1.574","type":"journal-article","created":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T05:01:01Z","timestamp":1774760461000},"page":"80-85","source":"Crossref","is-referenced-by-count":0,"title":["Cuando el betabloqueador revela el diagn\u00f3stico: feocromocitoma simulando s\u00edndrome coronario agudo: reporte de caso","When beta-blocker unmasks the diagnosis: pheochromocytoma mimicking acute coronary syndrome. A case report"],"prefix":"10.47487","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8635-9257","authenticated-orcid":false,"given":"Iv\u00e1n","family":"Garc\u00eda-G\u00f3mez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0897-0293","authenticated-orcid":false,"given":"Mar\u00eda","family":"Ang\u00e9lica-Medrano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0159-1012","authenticated-orcid":false,"given":"David","family":"Galvez-Caballero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0885-6763","authenticated-orcid":false,"given":"Alexis","family":"Vallejos-Barrientos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4956-2867","authenticated-orcid":false,"given":"Luis","family":"Eslava-Galvez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"26947","published-online":{"date-parts":[[2026,3,27]]},"container-title":["Archivos Peruanos de Cardiolog\u00eda y Cirug\u00eda Cardiovascular"],"original-title":[],"link":[{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/download\/574\/744","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/download\/574\/735","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T05:00:23Z","timestamp":1782536423000},"score":1,"resource":{"primary":{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/view\/574"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,27]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,3,28]]}},"URL":"https:\/\/doi.org\/10.47487\/apcyccv.v7i1.574","relation":{},"ISSN":["2708-7212"],"issn-type":[{"value":"2708-7212","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,27]]}}}