Panhypopituitarism mimicking symptoms of heart attack: A case report
Japan: Acute coronary syndrome (ACS) is a fatal disease, the authors however suggest that clinicians must not discount panhypopituitarism as it may mimic the symptoms of ACS -- is the conclusion from a case study.
The article was published in the journal Internal Medicine and was reported by Yoshito Sugi, Division of General Internal Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan.
The case in question is of a 59-year-old man suspected of having myocardial infarction with sinus bradycardia, a decreased blood pressure, and ST-change on an electrocardiogram was referred to the hospital's emergency department.
No significant findings were revealed on emergent coronary angiography. The patient however experienced shock and required intensive care. Curiosity rose when his urination volume was not disturbed; we suspected hormonal abnormalities. A hormonal examination and imaging analysis revealed panhypopituitarism caused by a Rathke's cyst. Appropriate hormonal replacement therapy improved his symptoms and led to the normalization of his electrocardiogram findings.
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