Abstract
ABSTRACT Objective: To review a case of life-threatening cardiogenic shock due to nonischemic cardiomyopathy associated with anterior hypopituitarism and to compare this case with previous reports in the literature. Methods: We describe the clinical presentation, biochemistry, imaging, treatment, and outcome of a patient with cardiogenic shock. We conducted an English language literature search of nonischemic cardiomyopathy associated with hypopituitarism secondary to Sheehan syndrome. Results: Cardiogenic shock due to nonischemic cardiomyopathy associated with anterior hypopituitarism is rare and has been attributed to thyroid-stimulating hormone, cortisol, and growth hormone (GH) deficiencies. A 40-year-old female with no previous cardiac history presented with cardiogenic shock due to nonischemic cardiomyopathy. An chocardiograph (ECG) revealed global hypokinesia with severely decreased left ventricular ejection fraction. She was treated with inotropes and an intra-aortic balloon pump. The patient volu...
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