title: Acute reversible cardiomyopathy with cardiogenic shock in a patient with Addisonian crisis: a case report.
abstract: A 42 year-old female, admitted to the ICU, with Addisonian crisis developed acute cardiopulmonary failure after hydrocortisone therapy was initiated. An echocardiogram showed severe reduction in the left-ventricular ejection fraction. Additionally, profound ECG abnormalities with diffuse ST-elevation and decreased QRS-amplitudes occurred, whereas Troponin-I was only moderately increased. Chest X-ray displayed bilateral pulmonary edema. The patient's condition culminated in respiratory failure and cardiogenic shock requiring catecholamines and ventilatory support. After a week, she had recovered uneventfully.
authors.forename: Birger
authors.initials: B
authors.lastname: Wolff
authors.forename: Klaus
authors.initials: K
authors.lastname: Machill
authors.forename: Ilona
authors.initials: I
authors.lastname: Schulzki
authors.forename: Detlef
authors.initials: D
authors.lastname: Schumacher
authors.forename: Dierk
authors.initials: D
authors.lastname: Werner
mesh_terms: D000208:Acute Disease; D000224:Addison Disease / Q000150:complications* / Q000503:physiopathology*; D000328:Adult; D009202:Cardiomyopathies / Q000209:etiology* / Q000628:therapy*; D005260:Female; D006801:Humans; D009638:Norepinephrine / Q000627:therapeutic use; D020127:Recovery of Function; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy; D012720:Severity of Illness Index; D012770:Shock, Cardiogenic / Q000209:etiology* / Q000628:therapy*
chemical_list: D009638:Norepinephrine