Ozcan Firat, Ustun Ihsan, Berker Dilek, Aydin Yusuf, Delibasi Tuncay, Guler Serdar
Department of Cardiology, Turkiye Yuksek Ihtisas Hospital, Turkey.
J Natl Med Assoc. 2005 Nov;97(11):1539-40.
Addisonian crisis represents a state of acute adrenocortical insufficiency and occurs in patient with Addison's disease who are exposed to stress of infection, surgery, trauma, vomiting and diarrhea. We present a case with a 39-year-old female patient who admitted to the hospital with Addisonian crisis and, interestingly, her electrocardiograph showed ST depression and inverted T waves on inferior and V4-V6 leads. She did not have a history of angina pectoris and coronary artery disease, and her cardiac enzymes were normal. Exercise stress testing and echocardiographic assessment revealed normal findings. When faced with such a patient who has hypotension and ischemic ECG changes without having underlying angina, Addisonian crisis should be considered in differential diagnosis.
艾迪生病危象代表急性肾上腺皮质功能不全状态，发生于患有艾迪生病且遭受感染、手术、创伤、呕吐和腹泻等应激的患者。我们报告一例39岁女性患者，她因艾迪生病危象入院，有趣的是，其心电图显示下壁及V4 - V6导联ST段压低和T波倒置。她没有心绞痛和冠状动脉疾病史，心肌酶正常。运动负荷试验和超声心动图评估结果正常。当面对这样一位有低血压和缺血性心电图改变但无潜在心绞痛的患者时，鉴别诊断应考虑艾迪生病危象。
