What is Epinephrine (Adrenaline), 24-Hour Urine?
Epinephrine is synthesised exclusively in the adrenal medulla from norepinephrine by phenylethanolamine-N-methyltransferase (PNMT), a reaction induced by high local cortisol concentrations from the adrenal cortex. Its urinary output reflects adrenomedullary secretory activity rather than peripheral sympathetic neuronal function, distinguishing it mechanistically from norepinephrine in clinical interpretation.