孤立性促肾上腺皮质激素缺乏导致急性肾上腺危象时的应激性心肌病。
Takotsubo cardiomyopathy during acute adrenal crisis due to isolated adrenocorticotropin deficiency.
作者信息
Ukita Chizuko, Miyazaki Hiroshi, Toyoda Nagaoki, Kosaki Atsushi, Nishikawa Mitsushige, Iwasaka Toshiji
机构信息
The Second Department of Internal Medicine, Kansai Medical University, Osaka.
出版信息
Intern Med. 2009;48(5):347-52. doi: 10.2169/internalmedicine.48.1662. Epub 2009 Mar 2.
We report a 69-year-old woman who had isolated adrenocorticotropic hormone (ACTH) deficiency. Subsequently, she had Takotsubo cardiomyopathy during acute adrenal crisis. Replacement therapy with hydrocortisone sufficiently improved her cardiomyopathy. We conclude that her myocardial dysfunction was closely related to adrenal insufficiency and suggest that in certain circumstances, adrenal crisis may cause Takotsubo cardiomyopathy.
我们报告了一名69岁患有孤立性促肾上腺皮质激素（ACTH）缺乏症的女性。随后，她在急性肾上腺危象期间发生了Takotsubo心肌病。氢化可的松替代疗法使她的心肌病得到了充分改善。我们得出结论，她的心肌功能障碍与肾上腺功能不全密切相关，并提示在某些情况下，肾上腺危象可能会导致Takotsubo心肌病。
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