Pituitary apoplexy following anticoagulation for acute coronary syndrome

A48 year old man presented with intermittent central chest pain and tingling in the left arm of two days’ duration. He had no past medical history of ischaemic heart disease but had been diagnosed with sleep apnoea syndrome 18 months previously and was being treated with continuous positive airway pressure. He was on no medication. General and systemic examination were unremarkable. Resting 12 lead ECG showed sinus rhythm with a normal axis and 1 mm ST segment depression with T wave inversion in the inferolateral leads. He was diagnosed …