Refractory hypotension induced by Sheehan syndrome with pituitary crisis: A case report
- Authors:
- Lu Liang
- Jin‑Bo Liu
- Fu‑Qin Chen
- Jing Zhao
- Xiao‑Li Zhang
View Affiliations
Affiliations: Department of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong 250000, P.R. China, Department of Cardiology, Qilu Hospital of Shandong University, Jinan, Shandong 250000, P.R. China
- Published online on: March 6, 2017 https://doi.org/10.3892/etm.2017.4188
-
Pages:
2097-2101
-
Copyright: © Liang
et al. This is an open access article distributed under the
terms of Creative
Commons Attribution License.
Metrics: Total
Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
This article is mentioned in:
Abstract
The present study reported on an unusual case of refractory hypotension induced by Sheehan syndrome with pituitary crisis and explored the causes and treatment of hypotension in hypopiptuitarism. Refractory hypotension is a rare and severe complication of longstanding hypopituitarism induced by Sheehan syndrome with pituitary crisis. A 48‑year‑old Chinese woman with pituitary crisis due to Sheehan syndrome developed refractory hypotension and received longstanding vasopressor blood pressure support and hormone replacement therapy. Besides normalized blood pressure, echocardiography over 3 months revealed partial reversibility of her cardiac function with hormone replacement therapy. Consistent numerous studies reviewed, hormone replacement therapy may improve cardiac function in patients with cardiomyopathy linked to Sheehan syndrome. A retrospective study of 77 cases with hypopituitarism encountered at Qilu Hospital of Shandong University (Jinan, China) was also performed and the incidence rate of hypotension was analyzed, revealing that the present case was the first of refractory hypotension induced by Sheehan syndrome with pituitary crisis at this institution in 16 years.
View References
1
|
Shivaprasad C: Sheehan syndrome's
syndrome: Newer advances. Indian J Endocrinol Metab. 15:(Suppl 3).
S203–S207. 2011. View Article : Google Scholar : PubMed/NCBI
|
2
|
Vesely DL, Mastrandrea P, Samson C,
Argyelan G and Charvit S: Post-herpes encephalitic anterior
pituitary insufficiency with hypothermia and hypotension. Am J Med
Sci. 320:273–277. 2000. View Article : Google Scholar : PubMed/NCBI
|
3
|
Vargas-Uricoechea H and Sierra-Torres CH:
Thyroid hormones and the heart. Horm Mol Biol Clin Invest.
18:15–26. 2014.
|
4
|
Galli E, Pingitore A and Lervasi G: The
role ofthyroid hormone in the pathophysiology of heart failure:
Clinical evidence. Heart Fail Rev. 15:155–169. 2010. View Article : Google Scholar : PubMed/NCBI
|
5
|
Schmidt-Ott UM and Ascheim DD: Thyroid
hormone and heart failure. Curr Heart Fail Rep. 3:114–119. 2006.
View Article : Google Scholar : PubMed/NCBI
|
6
|
Cleghorn RA: Cardiovascular failure in
experimental adrenal insufficiency: A history revival. Perspect
Biol Med. 27:135–155. 1983. View Article : Google Scholar : PubMed/NCBI
|
7
|
Narayanan N: Effects of adrenalectomy and
in vivo administration of dexamethasone on ATP-dependent calcium
accumulation by sarcoplasmic reticulum from rat heart. J Mol Cell
Cardiol. 15:7–15. 1983. View Article : Google Scholar : PubMed/NCBI
|
8
|
Castellano G, Affuso F, Conza PD and Fazio
S: The GH/IGF-1 axis and heart failure. Curr Cardiol Rev.
5:203–215. 2009. View Article : Google Scholar : PubMed/NCBI
|
9
|
Lombardi G, Di Somma C, Grasso LF,
Savanelli MC, Colao A and Pivonello R: The cardiovascular system in
growth hormone excess and growth hormone deficiency. J Endocrinol
Invest. 35:1021–1029. 2012.PubMed/NCBI
|
10
|
Laway BA, Alai MS, Gojwari T, Ganie MA and
Zargar AH: Sheehan syndrome with reversible dilated cardiomyopathy.
Ann Saudi Med. 30:321–324. 2010. View Article : Google Scholar : PubMed/NCBI
|
11
|
Bao SS and Fisher SJ: Repairing a ‘broken
heart’ with hormone replacement therapy: Case report of cardiogenic
shock due to undiagnosed pituitary insufficiency. Endocr Pract.
18:e26–e31. 2012. View Article : Google Scholar : PubMed/NCBI
|
12
|
Kissell N, Mudd JO, Gelow JM, Chong LE and
Yuen KC: Cardiogenic shock due to non-ischemic cardiomyopathy
induced by severe anterior hypopituitarism. Endocr Pract. Nov
4–2014.(Epub ahead of print). PubMed/NCBI
|
13
|
Kaufmann P, Lax SF, Radner H, Eber B,
Leuger A and Smolle KH: Severe hypotension and coma secondary to
unrecognized chronic anterior hypophysitis. Intensive Care Med.
21:847–849. 1995. View Article : Google Scholar : PubMed/NCBI
|