Cardiogenic Shock Induced by Anterior Pituitary Hypofunction and Thyrotoxicosis
Autor: | Yueqin Gao, Lei Li, Yuyan Hou, Yan Li, Xiaojian Song |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Pituitary gland Cardiology Hypopituitarism 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Anterior pituitary Internal medicine Internal Medicine Medicine Hormone replacement therapy thyrotoxicosis anterior pituitary hypofunction medicine.diagnostic_test business.industry Cardiogenic shock cardiogenic shock Endocrinology/Diabetes/Metabolism General Engineering Magnetic resonance imaging medicine.disease medicine.anatomical_structure business Complication 030217 neurology & neurosurgery Hormone |
Zdroj: | Cureus |
ISSN: | 2168-8184 |
DOI: | 10.7759/cureus.12347 |
Popis: | Cardiogenic shock occurs when the heart is unable to pump enough blood for the needs of the body. Hypopituitarism is a condition in which the pituitary gland does not produce enough of one or more hormones, and it rarely occurs with thyrotoxicosis. We report a rare case of cardiogenic shock induced by anterior pituitary hypofunction and thyrotoxicosis. A 47-year-old woman was admitted twice to the hospital due to generalized worsening muscle pain for 13 days, and accompanied by a transient loss of consciousness. Cardiogenic shock developed during hospitalization, which improved with active resuscitative measures. Laboratory tests showed thyrotoxicosis. Pituitary magnetic resonance imaging (MRI) and relevant hormone tests confirmed anterior pituitary hypofunction. The patient was given hormone replacement therapy, which stabilized her condition. We believe cardiogenic shock may be a serious complication of hypopituitarism. We recommend establishing an expert system (ES) to facilitate the early diagnosis and treatment of cardiogenic shock, improve the professional skills of primary care physicians, and optimize treatment plans. |
Databáze: | OpenAIRE |
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