Acute Heart Failure as a First Manifestation of Primary Adrenal Insufficiency: Highly Lethal If Not Diagnosed!
Background. Primary adrenal insufficiency is an uncommon condition that manifests as nonspecific symptoms such as fatigue, weight loss, salt craving, and hyperpigmentation. Common cardiovascular presentations of AI are hypotension, arrhythmias, and syncope. However, acute heart failure is an uncommo...
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Case Reports in Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2024/5759629 |
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| author | Maryam Heidarpour Mohammad Mehdi Zare Shiva Armani Hedie Torkashvan Sadegh Mazaheri-Tehrani Davood Shafie |
| author_facet | Maryam Heidarpour Mohammad Mehdi Zare Shiva Armani Hedie Torkashvan Sadegh Mazaheri-Tehrani Davood Shafie |
| author_sort | Maryam Heidarpour |
| collection | DOAJ |
| description | Background. Primary adrenal insufficiency is an uncommon condition that manifests as nonspecific symptoms such as fatigue, weight loss, salt craving, and hyperpigmentation. Common cardiovascular presentations of AI are hypotension, arrhythmias, and syncope. However, acute heart failure is an uncommon presentation. Case Presentation. Here, a 26-year-old man was hospitalized with vasopressor-resistant cardiogenic shock, which was finally attributed to an adrenal crisis. His past medical history was notable for Hashimoto’s disease, controlled with oral levothyroxine. Conclusion. AI should be considered among patients with cardiogenic shock who are unresponsive to conventional inotropes. Additionally, a history of autoimmune diseases may increase the suspicion of AI. Although the presentation of cardiogenic shock in a patient with undiagnosed AI is considered a rarity, delay in prompt treatment can lead to life-threatening conditions. |
| format | Article |
| id | doaj-art-0480c68d72a4462a825b3c383d59c972 |
| institution | Kabale University |
| issn | 2090-651X |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Endocrinology |
| spelling | doaj-art-0480c68d72a4462a825b3c383d59c9722025-02-03T07:23:47ZengWileyCase Reports in Endocrinology2090-651X2024-01-01202410.1155/2024/5759629Acute Heart Failure as a First Manifestation of Primary Adrenal Insufficiency: Highly Lethal If Not Diagnosed!Maryam Heidarpour0Mohammad Mehdi Zare1Shiva Armani2Hedie Torkashvan3Sadegh Mazaheri-Tehrani4Davood Shafie5Isfahan Endocrine and Metabolism Research CenterIsfahan Endocrine and Metabolism Research CenterHeart Failure Research CenterHeart Failure Research CenterHeart Failure Research CenterHeart Failure Research CenterBackground. Primary adrenal insufficiency is an uncommon condition that manifests as nonspecific symptoms such as fatigue, weight loss, salt craving, and hyperpigmentation. Common cardiovascular presentations of AI are hypotension, arrhythmias, and syncope. However, acute heart failure is an uncommon presentation. Case Presentation. Here, a 26-year-old man was hospitalized with vasopressor-resistant cardiogenic shock, which was finally attributed to an adrenal crisis. His past medical history was notable for Hashimoto’s disease, controlled with oral levothyroxine. Conclusion. AI should be considered among patients with cardiogenic shock who are unresponsive to conventional inotropes. Additionally, a history of autoimmune diseases may increase the suspicion of AI. Although the presentation of cardiogenic shock in a patient with undiagnosed AI is considered a rarity, delay in prompt treatment can lead to life-threatening conditions.http://dx.doi.org/10.1155/2024/5759629 |
| spellingShingle | Maryam Heidarpour Mohammad Mehdi Zare Shiva Armani Hedie Torkashvan Sadegh Mazaheri-Tehrani Davood Shafie Acute Heart Failure as a First Manifestation of Primary Adrenal Insufficiency: Highly Lethal If Not Diagnosed! Case Reports in Endocrinology |
| title | Acute Heart Failure as a First Manifestation of Primary Adrenal Insufficiency: Highly Lethal If Not Diagnosed! |
| title_full | Acute Heart Failure as a First Manifestation of Primary Adrenal Insufficiency: Highly Lethal If Not Diagnosed! |
| title_fullStr | Acute Heart Failure as a First Manifestation of Primary Adrenal Insufficiency: Highly Lethal If Not Diagnosed! |
| title_full_unstemmed | Acute Heart Failure as a First Manifestation of Primary Adrenal Insufficiency: Highly Lethal If Not Diagnosed! |
| title_short | Acute Heart Failure as a First Manifestation of Primary Adrenal Insufficiency: Highly Lethal If Not Diagnosed! |
| title_sort | acute heart failure as a first manifestation of primary adrenal insufficiency highly lethal if not diagnosed |
| url | http://dx.doi.org/10.1155/2024/5759629 |
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