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Case Report
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Korean J Med. 2014;87(3):347-351. Published online September 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.87.3.347
- 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
- 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
- Corresponding author: Chul-Hee Kim ,Tel: +82-32-621-5155, Fax: +82-32-621-5018, Email: chkimem@schmc.ac.kr
- Received: September 26, 2013; Revised: November 20, 2013 Accepted: January 10, 2014.
- 이전에 진단받지 못했던 시한 증후군 환자에서 급성부신기능부전과 스트레스성 심근병증이 병발하였고 적절한 호르몬 보충 치료 후 심장 기능이 정상으로 회복된 예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
߽ɾ :시한 증후군; 스트레스성 심근병증; 부신부전
- Abstract
- 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.
Keywords :Sheehan’s syndrome, Stress-induced cardiomyopathy, Adrenal insufficiency
