| A Case of Stress-Induced Cardiomyopathy in Sheehan’s Syndrome |
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Seoung-Ho Lee, Kyu-Jin Kim, Bo-Yeon Kim, Chan-Hee Jung, Ji-Oh Mok, Sung-Koo Kang, Chul-Hee Kim |
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Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea |
| 시한 증후군 환자에서 발생한 스트레스성 심근병증 |
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이승호, 김규진, 김보연, 정찬희, 목지오, 강성구, 김철희 |
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순천향대학교 의과대학 순천향대학교 부천병원 내과 |
Correspondence:
Chul-Hee Kim, Tel: +82-32-621-5155, Fax: +82-32-621-5018, Email: chkimem@schmc.ac.kr
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Received: 26 September 2013 • Revised: 20 November 2013 • Accepted: 10 January 2014 |
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| This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
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| Abstract |
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Cardiogenic shock after stress-induced cardiomyopathy is very rare and serious, and a reversible, clinical consequence of untreated 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 of hypopituitarism and secondary adrenal insufficiency owing to undiagnosed Sheehan’s syndrome. After glucocorticoid replacement therapy, her cardiac function recovered completely. Stress-induced cardiomyopathy should be considered as a possible cause of unexplained heart failure in patients with Sheehan’s syndrome and adrenal insufficiency. |
| Key Words:
Sheehan’s syndrome; Stress-induced cardiomyopathy; Adrenal insufficiency |
| 주제어:
시한 증후군; 스트레스성 심근병증; 부신부전 |
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