Reninoma presenting as cardiac syncope.
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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.
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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 |
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Figure 2: Electrocardiogram of the patient showing frequent ventricular ectopics and a run of nonsustained ventricular tachycardia 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. |
View Article: PubMed Central - PubMed
Affiliation: Department of Cardiology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India.
No MeSH data available.