Takotsubo Cardiomyopathy during Acute Adrenal Crisis due to Isolated Adrenocorticotropin Deficiency

被引：19

作者：

Ukita, Chizuko ^{[1
]}

Miyazaki, Hiroshi ^{[2
]}

Toyoda, Nagaoki ^{[1
]}

Kosaki, Atsushi ^{[1
]}

Nishikawa, Mitsushige ^{[1
]}

Iwasaka, Toshiji ^{[1
]}

机构：

[1] Kansai Med Univ, Dept Internal Med 2, Osaka, Japan

[2] Miyazaki Clin, Kyoto, Japan

来源：

INTERNAL MEDICINE | 2009年 / 48卷 / 05期

关键词：

Takotsubo cardiomyopathy; adrenal crisis; isolated adrenocorticotropin deficiency; ACUTE MYOCARDIAL-INFARCTION; ST-SEGMENT ELEVATION; REVERSIBLE CARDIOMYOPATHY; CLINICAL-FEATURES; ADDISONS-DISEASE; RAT-HEART; INSUFFICIENCY; DEXAMETHASONE; DYSFUNCTION; SECONDARY;

D O I：

10.2169/internalmedicine.48.1662

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report a 69-year-old woman who had isolated adrenocorticotropic hormone (ACTH) deficiency. Subsequently, she had Takotsubo cardiomyopathy during acute adrenal crisis. Replacement therapy with hydrocortisone sufficiently improved her cardiomyopathy. We conclude that her myocardial dysfunction was closely related to adrenal insufficiency and suggest that in certain circumstances, adrenal crisis may cause Takotsubo cardiomyopathy.

引用

页码：347 / 352

页数：6

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