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January 1, 2015Indian Journal of Critical Care Medicine10 citationsOpen Access

Takotsubo cardiomyopathy in a patient with pituitary adenoma and secondary adrenal insufficiency

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Population

A 48-year-old man with a pituitary macroadenoma in acute adrenal crisis presenting with altered sensorium…

Design

Case_report

Follow-up

Until discharge (a few days)

Key result

A 48-year-old man with a pituitary adenoma and secondary adrenal insufficiency developed Takotsubo cardiomyopathy that completely resolved with supportive care and hormone replacement, with ejection fraction normalizing to 56%.

Authors

GSGeorgene SinghAMAri ManickamRRRamesh Chandra Rathod

Discussion

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Overview

May support considering Takotsubo in refractory adrenal crisis; hypothesis-generating and requires validation in prospective studies.

Study Design

Type

Case Report (n=1)

Multicenter

No

Structured PICO

P
Population
A 48-year-old man with a pituitary macroadenoma in acute adrenal crisis presenting with altered sensorium, vomiting, and gasping.
I
Intervention
Steroid replacement, fluids, inotropes, 3% hypertonic saline, angiotensin-converting enzyme inhibitors, and beta-blockers.
O
Outcome
Clinical recovery, resolution of ECG changes and regional wall motion abnormalities, and normalization of ejection fraction.

Takotsubo cardiomyopathy should be considered in patients with Addisonian crisis who have persistent hypotension refractory to optimal resuscitation.

Cite This Study

Singh et al. (2015) conducted a case report in Takotsubo cardiomyopathy, pituitary adenoma, secondary adrenal insufficiency (n=1). Supportive care and hormone replacement was evaluated on Left ventricular ejection fraction recovery. A 48-year-old man with a pituitary adenoma and secondary adrenal insufficiency developed Takotsubo cardiomyopathy that completely resolved with supportive care and hormone replacement, with ejection fraction normalizing to 56%.

synapsesocial.com/papers/6a0a58a397b2cd6568591724https://doi.org/10.4103/0972-5229.171410
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Ampulla (Takotsubo) Cardiomyopathy Caused by Secondary Adrenal Insufficiency in ACTH Isolated Deficiency2007 · 33 citations
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  3. 3Severe Arrhythmia Complicating Takotsubo Cardiomyopathy Revealing an Underlying Pheochromocytoma: A Case Report2026
  4. 4Pheochromocytoma presenting as inverted Takotsubo cardiomyopathy2010 · 18 citations
  5. 5Pheochromocytoma-Induced Takotsubo Cardiomyopathy2019 · 14 citations