Dilated cardiomyopathy in acromegaly - Case report
Date Issued
2014-10
Author(s)
Todorova, Biljana
Abstract
Introduction: Patients diagnosed with acromegaly develop many cardiovascular complications
such as hypertension, arrhythmia, systolic and diastolic dysfunction, valvular dysfunction and heart
failure. Dilated cardiomyopathy (DCM) with systolic and diastolic dysfunction is relatively rare but is associated with high mortality to 60%. In MCC the heart muscle gradually dilate and the dysfunction
that develops is irreversible. It is therefore necessary early diagnosis and treatment of acromegaly
by removal of the tumor and drug treatment with drugs that prevent the heart failure.
Material and methods: We present a case of acromegaly diagnosed at the patient at the age of
27 with pituitary macroadenom, hipopituitarizam, diabetes,insipiden diabetes and atrophy of the optic nerve. The patient was subjected to endoscopic surgery but the disease remained active and she was treated with radiotherapy. Our patient has ignored the underlying disease and didn’t call in to the review and controls. The patient was hospitalized with difficult situation of heart failure with
anasarca, hypertension, fatigue and severe left ventricular dysfunction with global hypocinesia in
the Clinic for Cardiology. She was treated with diuretics, cardiotonics, vasodilators and hormone replacement therapy. Conclusion: Early diagnosis and prompt treatment of acromegaly can prevent irreversible cardiomyopathy.
The problem is greater, if it is associated with other morbidities such as hypertension and diabetes.
such as hypertension, arrhythmia, systolic and diastolic dysfunction, valvular dysfunction and heart
failure. Dilated cardiomyopathy (DCM) with systolic and diastolic dysfunction is relatively rare but is associated with high mortality to 60%. In MCC the heart muscle gradually dilate and the dysfunction
that develops is irreversible. It is therefore necessary early diagnosis and treatment of acromegaly
by removal of the tumor and drug treatment with drugs that prevent the heart failure.
Material and methods: We present a case of acromegaly diagnosed at the patient at the age of
27 with pituitary macroadenom, hipopituitarizam, diabetes,insipiden diabetes and atrophy of the optic nerve. The patient was subjected to endoscopic surgery but the disease remained active and she was treated with radiotherapy. Our patient has ignored the underlying disease and didn’t call in to the review and controls. The patient was hospitalized with difficult situation of heart failure with
anasarca, hypertension, fatigue and severe left ventricular dysfunction with global hypocinesia in
the Clinic for Cardiology. She was treated with diuretics, cardiotonics, vasodilators and hormone replacement therapy. Conclusion: Early diagnosis and prompt treatment of acromegaly can prevent irreversible cardiomyopathy.
The problem is greater, if it is associated with other morbidities such as hypertension and diabetes.
File(s)![Thumbnail Image]()
Loading...
Name
4.-IV-ti-kongres-Endokrinologija-2014.pdf
Size
4.11 MB
Format
Adobe PDF
Checksum
(MD5):39206169afa4402bec1f5520822f7378