Author/Authors :
Garrahy, Ian Department of Internal Medicine - Reading Hospital and Medical Center, Tower Health, West Reading, PA, USA , Nicholas III, Peter Department of Internal Medicine - Reading Hospital and Medical Center, Tower Health, West Reading, PA, USA , Oladiran, Oreoluwa Department of Internal Medicine - Reading Hospital and Medical Center, Tower Health, West Reading, PA, USA , Nazi, Salik Department of Cardiology - University of Toledo Medical Center, Toledo, Ohio, USA
Abstract :
We report a case of a middle-aged female who presented with altered mental status, hypotension, and hypoglycemia and was
diagnosed with secondary adrenal insufficiency. She was also found to have elevated troponin I on initial evaluation with diffuse
T wave inversions on electrocardiogram. Transthoracic echocardiogram revealed ejection fraction of 38% with apical akinesia.
Subsequent left heart catheterization revealed clean coronary arteries. She was diagnosed with typical Takotsubo
cardiomyopathy secondary to adrenal insufficiency. She was managed with IV hydrocortisone with resolution of symptoms.
This article adds to the select few cases in the literature of the association of Takotsubo cardiomyopathy resulting from
secondary adrenal insufficiency.
