alexa Ventricular fibrillation and long QT interval in a case with secondary adrenal insufficiency
Diabetes & Endocrinology

Diabetes & Endocrinology

Journal of Steroids & Hormonal Science

Author(s): Hiroto Takeda, Noriko Endo, Jun Kobayashi, Takeo Niitsuma, Eisuke Miura

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The patient was 35-year-old woman, admitted the weight loss than after birth second child, 2000 October 5, and visited a certain hospital because of the loss of consciousness, was observed prolongation of the QT time. Ventricle fine during sleep after admission recognized the dynamic, DC200J is enforcement, referred to our department, became the patient was transferred. serum K in 3.2mEq / l, also QT is extended after the enforcement of the correction of .K was Mg2.4mg / dl, nausea vomiting was eating bad for. thyroid gland in the endocrine inspection, sex, normal, ACTH <5pg / ml growth hormone, notable even .MRI that were considered cortisol 1.4μg / dl, in ACTH alone deficiency findings without, pituitary hemorrhage after childbirth, to start the administration of hydrocortisone from. October 19 days infarction and was most suspected as the cause, it by the subjective symptoms are improving, it was also shortened the QT interval. possible future recurrence sex can not be denied, underwent implantation surgery of ICD. reports of QT prolongation secondary to adrenal insufficiency is not, it was considered to be extremely rare.

This article was published in Japan Heart Foundation and referenced in Journal of Steroids & Hormonal Science

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