Document Detail


A crisis of the heart: an acute reversible cardiomyopathy bridged to recovery in a patient with Addison's disease.
MedLine Citation:
PMID:  24172274     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Primary adrenal insufficiency or Addison's disease is a rare disorder often difficult to diagnose on presentation by the nature of its associated nonspecific symptoms, such as nausea or weakness. Cardiovascular complications of the condition are usually limited to hypovolemic hypotension; however, we highlight here a rare, dramatic case of a fulminant adrenal crisis in a young man primarily marked by acute biventricular systolic failure and cardiogenic shock. The patient was successfully treated with corticosteroid replacement and bridged with temporary mechanical circulatory support to eventual complete the recovery of native myocardial function.
Authors:
Arun Krishnamoorthy; Robert J Mentz; Kristen A Hyland; Edward B McMillan; Chetan B Patel; Carmelo A Milano; Adrian F Hernandez
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  ASAIO journal (American Society for Artificial Internal Organs : 1992)     Volume:  59     ISSN:  1538-943X     ISO Abbreviation:  ASAIO J.     Publication Date:    2013 Nov-Dec
Date Detail:
Created Date:  2013-10-31     Completed Date:  2014-06-13     Revised Date:  2014-08-21    
Medline Journal Info:
Nlm Unique ID:  9204109     Medline TA:  ASAIO J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  668-70     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Addison Disease / complications*
Cardiomyopathies / etiology,  surgery
Heart-Assist Devices*
Humans
Male
Recovery of Function*
Shock, Cardiogenic / etiology,  surgery*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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