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Pheochromocytoma is a rare neuroendocrine tumour with a highly variable clinical presentation. It may present with unusual presentation and these tend to mislead the physician into a delayed diagnosis. Typical cardiac manifestations include ST-segment deviations mimicking myocardial infarction, QT interval prolongation, blood pressure fluctuations, arrythmias mostly tachycardia but rarely may present with bradyarrythmia. We describe a case of pheochromocytoma with rare findings of Intermittent AV dissociation associated with Junctional and ventricular ectopic rhythm.

Osama Tariq , Aftab Siddiqui , Adil Al Riami, Fatima Amir , Yasser W. Mula-Abed, Mohammed Hammed Gillani. (2013) Pheochromocytoma with Uncommon ECG Presentation , Journal of Liaquat University of Medical and Health Sciences, Volume-12, Issue-2.
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