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Adrenal insufficiency and heart problems9/15/2023 ![]() ![]() EF returned to normal after 5 days and the ventricular assist devices were removed.Ĭonclusion: In this case, primary adrenal insufficiency presented with reversible fulminate biventricular heart failure and other end organ dysfunction that was resolved with support and stress-dose steroids. Stress-dose steroids were initiated and rapid improvement followed. Results: The patient was diagnosed with adrenal insufficiency after mental status change and persistent cardiogenic shock. The patient subsequently developed a rapidly progressive cardiogenic shock requiring intubation and placement of biventricular assist devices. The patient was hypotensive and was admitted to a local hospital for possible septic shock with low ejection fraction (EF). Methods: A 21-year-old male with a 1-year history of nausea and dizziness presented with a 3-day history of malaise, sore throat, fever, and weakness. Pertinent literature, physiology, and management are discussed. The presentation, clinical manifestations, laboratory results, radiologic findings, and management of a patient that developed cardiogenic shock as the result of an Addisonian crisis are described. ![]() ![]() Objective: We report a case of primary adrenal insufficiency which presented with a rare finding of fulminant cardiogenic shock that improved with hydrocortisone administration. ![]()
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