시한 증후군 환자에서 발생한 스트레스성 심근병증A Case of Stress-Induced Cardiomyopathy in Sheehan’s Syndrome
- Other Titles
- A Case of Stress-Induced Cardiomyopathy in Sheehan’s Syndrome
- Authors
- 이승호; 김규진; 김보연; 정찬희; 목지오; 강성구; 김철희
- Issue Date
- 2014
- Publisher
- 대한내과학회
- Keywords
- Sheehan’s syndrome; Stress-induced cardiomyopathy; Adrenal insufficiency; 시한 증후군; 스트레스성 심근병증; 부신부전
- Citation
- 대한내과학회지, v.87, no.3, pp.347 - 351
- Journal Title
- 대한내과학회지
- Volume
- 87
- Number
- 3
- Start Page
- 347
- End Page
- 351
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/12738
- DOI
- 10.3904/kjm.2014.87.3.347
- ISSN
- 1738-9364
- Abstract
- Cardiogenic shock after stress-induced cardiomyopathy is very rare and serious, and a reversible, clinical consequence ofuntreated adrenal insufficiency that is attributable to Sheehan’s syndrome. A 53-year-old female presented with confusion,congestive heart failure, and hypotension. Endocrine testing, prior medical history, and brain MRI confirmed the presence ofhypopituitarism and secondary adrenal insufficiency owing to undiagnosed Sheehan’s syndrome. After glucocorticoid replacementtherapy, her cardiac function recovered completely. Stress-induced cardiomyopathy should be considered as a possible cause ofunexplained heart failure in patients with Sheehan’s syndrome and adrenal insufficiency.
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