Deep negative T waves associated with reversible left ventricular dysfunction in acute adrenal crisis
Kanji Iga MD, Kenjiro Hori MD and Hiromitu Gen MD
Abstract
We report two cases of reversible left ventricular dysfunction associated
with deep negative T waves during acute adrenal crisis due to isolated
deficiency of adrenocorticotrophic hormone. There were no symptoms suggestive
of heart disease in either case and left ventricular wall motion abnormalities,
present mainly around the left ventricular apex, returned to normal in 1-2
weeks. Deep negative T waves normalized 4 weeks after corticosteroid supplement.
Acute adrenal crisis should be considered when deep negative T waves are
associated with left ventricular dysfunction without cardiac symptoms.