재발성 심실빈맥으로 발현된 쉬한증후군 1예
A case of Sheehan's syndrome presented by recurrent ventricular tachycardia
0
조회
0
다운로드
0
인용
0
참고문헌
초록
쉬한증후군 환자에서 T파 역전, QT 간격 연장과 함께 재발성 심실빈맥이 발생하였고, 적절한 호르몬 보충 치료 후 심전도 이상이 정상으로 회복된 예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Electrocardiographic abnormalities commonly associated with hypopituitarism are low QRS voltage, ST-segment depression, inverted T waves and a prolonged QT interval. Although the mechanism remains unclear, glucocorticoid therapy, an intracelluar-extracellular electrolyte imbalance of myocytes, and histopathological changes in the myocardium are thought to play a role in this disorder. We discribe a 64 year old woman with recurrent ventricular tachycardia associated with QT prolongation in Sheehan's syndrome. Ventricualr tachycardia was treated by lidocain and direct current cardioversion. Sheehan's syndrome was confirmed by past history, anterior pituirary stimulation test and brain MRI showed empty sella. After hormone replacement treatment, inverted T waves and prolonged QT interval was normalized and ventricular tachycardia did not recur.
참고문헌 (14)
- "Pituitary necrosis", 24, pp.59~70 (1968)
- "Polymorphic ventricular tachycardia secondary to hypothyroidism", 57, pp.882~884 (1986)
- "Torsade de pointes and marked QT prologation in association with hypothyriodism", 106, pp.712~713 (1987)
- "Myxedema as a cause of QT syndrome and recurring ventricular tachycardia", 76, pp.58~61 (1987)
- "Sheehan's syndrome with hypomagnesemia and polymorphous ventricular tachycardia", 30, pp.251~256 (1989)
- "A case of torsade de piontes associated with hypopituitarism due to hemorrhagic fever with renal syndrome", 16, pp.355~359 (2001)
- "Syndrome of hypopituitarism", 18, pp.319~ (1949)
- "Diagnosis and treatment of hypopituitarism", 31, pp.265~269 (1954)
- "Post-partum hypopituitarism", 149, pp.291~310 (1954)
- "Polymorphic ventricular tachycardia in a patient with adrenal insufficiency and hypothyroidism", 62, pp.543~545 (1998)
- "Deep negative T waves associated with reversible left ventricular dysfunction in acute adrenal crisis", 7, pp.107~111 (1992)
- "Glucocorticoid induction of Kv1.5 K channel gene expression in ventricle of rat heart", 75, pp.1006~1013 (1994)
- "Rapidly reversible ECG abnormalities in chronic secondary adrenal insufficiency", 86, pp.333~336 (2002)
- "Electrocardiogram in hypopituitarism: reversibility of changes during treatment", 65, pp.17~23 (1963)