Cardiac symptoms in a patient with Addison’s disease and hypothyreosis on the basis of autoimmune polyglandular syndrome type II

Česká verzia

Authors: A. Hachová ¹; L. Brunerová ²; P. Gregor ¹
Authors place of work: III. interní – kardiologická klinika 3. lékařské fakulty UK a FN Královské Vinohrady Praha, přednosta prof. MUDr. Petr Widimský, DrSc., FESC ¹; Mediscan Euromedic, s. r. o., Praha, jednatel společnosti MUDr. David Karásek ²
Published in the journal: Vnitř Lék 2012; 58(6): 473-476
Category: Case Reports

Summary

In many endocrine diseases we can find a heart disorder. We present a case of a young patient aged 34 years, who was examined for non-specific ST-T abnormalities on ECG and a new-diagnosed left ventricle dysfunction with suspicion to the acute coronary syndroma. However, this diagnosis wasn’t verified. Endocrinological examination detected the Addison’s disease and a severe hypothyreosis. After the hormonal substitution therapy was given, the patient became asymptomatic and the ECG- and echocardiographic changes disappeared.

Key words:
left ventricle dysfunction – non-specific ST-T changes on ECG – Addison’s disease – hypothyreosis – type II. autoimmune polyglandular syndroma

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