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+A 65-year-old man was referred to our hospital for evaluation of stuttering chest pain for 10 days, and he was a common worker.
+There was no positive finding from the relevant physical examination.
+He has no medical, family, and psychosocial history including co-morbidities, and relevant genetic information.
+His electrocardiogram showed T-wave inversion over leads V1 to V4 (Figure ​1).
+Coronary angiography showed 90% stenosis in the mid-left anterior descending coronary artery (LAD), which was stented (Figure 2).
+T-wave still inversion over leads V1 to V4 after the percutaneous coronary intervention (PCI) (Figure ​3).
+The patient discharged after the PCI in 5 days and recharged in the hospital because of a palpation.
+His electrocardiogram demonstrated ventricular tachycardia (Figure ​4), and severe hypertension, remarkable blood pressure fluctuation between 224/76 and 70/50 mm Hg.
+Although several antihypertensive drugs were used, ventricular tachycardia still occurred on him for 2 times, each was preceded by a period of blood pressure fluctuation and burst out concomitantly at the peak of a hypertension crisis.
+The patient felt abdominal pain and his abdominal ultrasound showed suspicious right adrenal gland tumor.
+Enhanced computed tomography of adrenal gland conformed that there was a tumor in right adrenal gland accompanied by an upset level of aldosterone (Figure 5).
+The tumor was removed by laparoscope, and pathological examination showed pheochromocytoma (Figure ​6).
+After the surgery, the blood pressure turned normal gradually.
+There was no T-wave inversion in lead V1-V4 (Figure ​7).