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Reninoma presenting as cardiac syncope.

Tak SI, Wani ML, Khan KA, Alai MS, Shera AH, Ahangar AG, Khan YB - Ann Pediatr Cardiol (2011)

Bottom Line: Reninoma, a renin-secreting tumor of the juxta-glomerular cells of the kidney, is a rare but surgically treatable cause of secondary hypertension in children.We report a case of reninoma presenting as cardiac syncope with long QTc on electrocardiogram due to hypokalemia.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India.

ABSTRACT
Reninoma, a renin-secreting tumor of the juxta-glomerular cells of the kidney, is a rare but surgically treatable cause of secondary hypertension in children. We report a case of reninoma presenting as cardiac syncope with long QTc on electrocardiogram due to hypokalemia.

No MeSH data available.


Related in: MedlinePlus

Electrocardiogram of the patient showing sinus tachycardia and a prolonged QTc
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Figure 1: Electrocardiogram of the patient showing sinus tachycardia and a prolonged QTc

Mentions: An 8-year-old, thin, lean boy presented with a history of two episodes of syncope. On examination, pulse rate was 110 beats per minute and the blood pressure was 210/110 mmHg. There was no radio-femoral delay. A heaving apex in the fifth intercostal space inside the mid-clavicular line, a wide, but not-fixed split S2 with normal P2 and a grade II/VI systolic murmur at the apex were noted. On abdominal examination, a renal bruit was heard on the left side. Neurological examination and fundus were normal. His electrocardiogram revealed sinus tachycardia with corrected QT interval of 520 msec and occasional premature ventricular complexes [Figures 1 and 2}. There was no family history of deafness or sudden death.


Reninoma presenting as cardiac syncope.

Tak SI, Wani ML, Khan KA, Alai MS, Shera AH, Ahangar AG, Khan YB - Ann Pediatr Cardiol (2011)

Electrocardiogram of the patient showing sinus tachycardia and a prolonged QTc
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3104540&req=5

Figure 1: Electrocardiogram of the patient showing sinus tachycardia and a prolonged QTc
Mentions: An 8-year-old, thin, lean boy presented with a history of two episodes of syncope. On examination, pulse rate was 110 beats per minute and the blood pressure was 210/110 mmHg. There was no radio-femoral delay. A heaving apex in the fifth intercostal space inside the mid-clavicular line, a wide, but not-fixed split S2 with normal P2 and a grade II/VI systolic murmur at the apex were noted. On abdominal examination, a renal bruit was heard on the left side. Neurological examination and fundus were normal. His electrocardiogram revealed sinus tachycardia with corrected QT interval of 520 msec and occasional premature ventricular complexes [Figures 1 and 2}. There was no family history of deafness or sudden death.

Bottom Line: Reninoma, a renin-secreting tumor of the juxta-glomerular cells of the kidney, is a rare but surgically treatable cause of secondary hypertension in children.We report a case of reninoma presenting as cardiac syncope with long QTc on electrocardiogram due to hypokalemia.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India.

ABSTRACT
Reninoma, a renin-secreting tumor of the juxta-glomerular cells of the kidney, is a rare but surgically treatable cause of secondary hypertension in children. We report a case of reninoma presenting as cardiac syncope with long QTc on electrocardiogram due to hypokalemia.

No MeSH data available.


Related in: MedlinePlus