title: Acute reversible cardiomyopathy and heart failure in a child with acute adrenal crisis.
abstract: Acute adrenal crisis is a life-threatening disorder. Cardiovascular complications of the condition are usually limited to hypovolaemic hypotension and shock. An acute reversible cardiomyopathy and heart failure in association with acute adrenal crisis is rarely reported, particularly in children. A 6-year-old girl with adrenal crisis which was complicated by acute reversible cardiomyopathy is reported. Inotropic and ventilatory support in addition to intravenous hydrocortisone and furosemide therapy were required to achieve cardiovascular stability. The cardiomyopathy resolved over 5 days and she was discharged with normal cardiac and intellectual functions. Cardiomyopathy should be considered in patients with acute adrenal crisis demonstrating any symptoms or signs of heart failure.
authors.affiliation: a Divisions of Pediatric Critical Care, Department of Pediatrics, Faculty of Medicine, Ankara University , Ankara , Turkey.
authors.forename: Çağlar
authors.initials: Ç
authors.lastname: Ödek
authors.affiliation: a Divisions of Pediatric Critical Care, Department of Pediatrics, Faculty of Medicine, Ankara University , Ankara , Turkey.
authors.forename: Tanıl
authors.initials: T
authors.lastname: Kendirli
authors.affiliation: b Divisions of Pediatric Endocrinology, Department of Pediatrics, Faculty of Medicine , Ankara University , Ankara , Turkey.
authors.forename: Pınar
authors.initials: P
authors.lastname: Kocaay
authors.affiliation: a Divisions of Pediatric Critical Care, Department of Pediatrics, Faculty of Medicine, Ankara University , Ankara , Turkey.
authors.forename: Ebru
authors.initials: E
authors.lastname: Azapağası
authors.affiliation: c Divisions of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine , Ankara University , Ankara , Turkey.
authors.forename: Tayfun
authors.initials: T
authors.lastname: Uçar
authors.affiliation: b Divisions of Pediatric Endocrinology, Department of Pediatrics, Faculty of Medicine , Ankara University , Ankara , Turkey.
authors.forename: Zeynep
authors.initials: Z
authors.lastname: Şıklar
authors.affiliation: b Divisions of Pediatric Endocrinology, Department of Pediatrics, Faculty of Medicine , Ankara University , Ankara , Turkey.
authors.forename: Merih
authors.initials: M
authors.lastname: Berberoğlu
mesh_terms: D000309:Adrenal Insufficiency / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D001327:Autoimmune Diseases / Q000150:complications; D009202:Cardiomyopathies / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D002648:Child; D005260:Female; D005665:Furosemide / Q000008:administration & dosage; D006333:Heart Failure / Q000209:etiology* / Q000473:pathology* / Q000628:therapy; D006801:Humans; D006854:Hydrocortisone / Q000008:administration & dosage; D049994:Sodium Potassium Chloride Symporter Inhibitors
chemical_list: D049994:Sodium Potassium Chloride Symporter Inhibitors; D005665:Furosemide; D006854:Hydrocortisone
keywords: Acute adrenal crisis; Autoimmune adrenalitis; Reversible cardiomyopathy