Vnitr Lek 2012, 58(6):473-476

Cardiac symptoms in a patient with Addison's disease and hypothyreosis on the basis of autoimmune polyglandular syndrome type II

A. Hachová^1,*, L. Brunerová², P. Gregor¹

¹ III. interní - kardiologická klinika 3. lékařské fakulty UK a FN Královské Vinohrady Praha, přednosta prof. MUDr. Petr Widimský, DrSc., FESC

² Mediscan Euromedic, s. r. o., Praha, jednatel společnosti MUDr. David Karásek

In many endocrine diseases we can find a heart disorder. We present a case of a young patient aged 34 years, who was examined for non-specific ST-T abnormalities on ECG and a new-diagnosed left ventricle dysfunction with suspicion to the acute coronary syndroma. However, this diagnosis wasn't verified. Endocrinological examination detected the Addison's disease and a severe hypothyreosis. After the hormonal substitution therapy was given, the patient became asymptomatic and the ECG- and echocardiographic changes disappeared.

Keywords: left ventricle dysfunction; non-specific ST-T changes on ECG; Addison's disease; hypothyreosis; type II. autoimmune polyglandular syndroma

Received: December 8, 2012; Accepted: January 15, 2012; Published: June 1, 2012  Show citation