Takotsubo cardiomyopathy during acute adrenal crisis due to isolated adrenocorticotropin deficiency.
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.
Ukita
Chizuko
C
The Second Department of Internal Medicine, Kansai Medical University, Osaka. ukitac@hirakata.kmu.ac.jp
Miyazaki
Hiroshi
H
Toyoda
Nagaoki
N
Kosaki
Atsushi
A
Nishikawa
Mitsushige
M
Iwasaka
Toshiji
T
D000309:Adrenal Insufficiency / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D000324:Adrenocorticotropic Hormone / Q000172:deficiency*; D000368:Aged; D005260:Female; D020249:Hormone Replacement Therapy; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
D000324:Adrenocorticotropic Hormone; D006854:Hydrocortisone