Acute reversible cardiomyopathy with cardiogenic shock in a patient with Addisonian crisis: a case report.
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.
Wolff
Birger
B
Machill
Klaus
K
Schulzki
Ilona
I
Schumacher
Detlef
D
Werner
Dierk
D
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*
D009638:Norepinephrine