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Case Reports
. 2009;48(5):347-52.
doi: 10.2169/internalmedicine.48.1662. Epub 2009 Mar 2.

Takotsubo cardiomyopathy during acute adrenal crisis due to isolated adrenocorticotropin deficiency

Chizuko Ukita  1 , Hiroshi Miyazaki, Nagaoki Toyoda, Atsushi Kosaki, Mitsushige Nishikawa, Toshiji Iwasaka
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Free article
Case Reports

Takotsubo cardiomyopathy during acute adrenal crisis due to isolated adrenocorticotropin deficiency

Chizuko Ukita et al. Intern Med. 2009.
Free article

Abstract

We report a 69-year-old woman who had isolated adrenocorticotropic hormone (ACTH) deficiency. Subsequently, she had Takotsubo cardiomyopathy during acute adrenal crisis. Replacement therapy with hydrocortisone sufficiently improved her cardiomyopathy. We conclude that her myocardial dysfunction was closely related to adrenal insufficiency and suggest that in certain circumstances, adrenal crisis may cause Takotsubo cardiomyopathy.

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