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Addison Disease: HELP
Articles from University of Melbourne
Based on 1 article published since 2010
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This is the only published article about Addison Disease that originated from University of Melbourne during 2010-2020.
 
+ Citations + Abstracts
1 Article An Unusual Case of Shock Following an Elective Caesarean Delivery. 2020

Brennan, Anthony Paul / Eskander, Alex / Zois, John / Burns, Andrew T. ·Department of Cardiology, St Vincent's Hospital Melbourne, Australia. Electronic address: anthony.brennan@svha.org.au. · Mercy Hospital for Women, Heidelberg, Melbourne, Australia. · Department of Anaesthesia, Northern Health Melbourne, Australia. · Department of Cardiology, St Vincent's Hospital Melbourne, Australia. ·J Obstet Gynaecol Can · Pubmed #31324480.

ABSTRACT: BACKGROUND: The differential diagnosis of peripartum chest pain and cardiogenic shock is broad and includes pulmonary embolism, amniotic fluid embolism, peripartum and Takotsubo cardiomyopathy, myocardial infarction, and anaesthetic complications. CASE: A 31-year-old woman with Addison's disease underwent an elective caesarean section that was complicated by chest pain and cardiogenic shock. After initial resuscitation, she was transferred to a tertiary hospital, and urgent transthoracic echocardiography revealed severe systolic dysfunction. She was treated with an increased dose of hydrocortisone and intravenous furosemide and improved. Follow-up imaging showed improvement of left ventricular systolic function. CONCLUSION: In patients with cardiogenic shock after delivery, early transthoracic echocardiography is a non-invasive tool that can rapidly narrow the differential diagnosis.