title: Inverted T waves in patient with Addisonian crisis.
abstract: Addisonian crisis represents a state of acute adrenocortical insufficiency and occurs in patient with Addison's disease who are exposed to stress of infection, surgery, trauma, vomiting and diarrhea. We present a case with a 39-year-old female patient who admitted to the hospital with Addisonian crisis and, interestingly, her electrocardiograph showed ST depression and inverted T waves on inferior and V4-V6 leads. She did not have a history of angina pectoris and coronary artery disease, and her cardiac enzymes were normal. Exercise stress testing and echocardiographic assessment revealed normal findings. When faced with such a patient who has hypotension and ischemic ECG changes without having underlying angina, Addisonian crisis should be considered in differential diagnosis.
authors.affiliation: Department of Cardiology, Turkiye Yuksek Ihtisas Hospital, Turkey.
authors.forename: Firat
authors.initials: F
authors.lastname: Ozcan
authors.forename: Ihsan
authors.initials: I
authors.lastname: Ustun
authors.forename: Dilek
authors.initials: D
authors.lastname: Berker
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Aydin
authors.forename: Tuncay
authors.initials: T
authors.lastname: Delibasi
authors.forename: Serdar
authors.initials: S
authors.lastname: Guler
mesh_terms: D000224:Addison Disease / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D000328:Adult; D001145:Arrhythmias, Cardiac / Q000175:diagnosis* / Q000209:etiology*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D016896:Treatment Outcome