Korean Circ J.  2018 Dec;48(12):1163-1164. 10.4070/kcj.2018.0145.

Adrenal Insufficiency in a Patient with Acute Myocardial Infarction Plus Shock

Affiliations
  • 1Division of Cardiology, Department of Internal Medicine, Dankook University Hospital, Cheonan, Korea.
  • 2Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea. matsalong@schmc.ac.kr

Abstract

No abstract available.


MeSH Terms

Adrenal Insufficiency*
Humans
Myocardial Infarction*
Shock*

Figure

  • Figure 1 Coronary CT angiography and PCI for LCX coronary artery and RCA. (A) Total occlusion of the LAD coronary artery; (B) 80–90% severe stenosis of proximal to mid-LCX; (C) near-total occlusion of the mid-RCA; (D, E) PCI for LCX lesion; (F, G) PCI for RCA lesion. CT = computed tomography; LAD = left anterior descending; LCX = left circumflex; PCI = percutaneous coronary intervention; RCA = right coronary artery.

  • Figure 2 Timeline for blood pressure according to management. The blood pressure of the patient dropped severely whenever the dosage of inotropes was reduced. Vasopressors could be reduced after steroid administration. ECMO = extracorporeal membrane oxygenation; IV = intravenous; PO = oral.


Reference

1. Vincent JL, De Backer D. Circulatory shock. N Engl J Med. 2013; 369:1726–1734.
Article
2. Reynolds HR, Hochman JS. Cardiogenic shock: current concepts and improving outcomes. Circulation. 2008; 117:686–697.
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