Acromegaly Presenting as Cardiac Failure - A Case Report

  • Shohael Mahmud Arafat Associate Professor, Department of Medicine, BSMMU,
  • Mahammad Abul Kalam Azad Medical Officer, Department of Medicine, BSMMU,
  • Rezwanur Rahman Resident, Department of Medicine, BSMMU,
  • Mehruba Alam Ananna Registrar, BIRDEM
  • Ahmed Manzurul Aziz Medical Officer, Singair Health Complex
  • Quazi Mamtazuddin Ahmed Assistant Professor, Department of Medicine, BSMMU, Dhaka
  • Muhammad Khaled Hasan Medical officer, Department of Neurology, BSMMU, Dhaka
  • ABM Abdullah Professor and Dean, Department of Medicine, BSMMU, Dhaka
Keywords: acromegaly, heart failure, Pituitary microadenoma

Abstract

Acromegaly is characterized by chronic hypersecretion of growth hormone (GH) and is associated with increased mortality rate because of the potential complications such as cardiovascular disease, respiratory disease, or malignancy, which are probably caused by the long-term exposure of tissues to excess GH, for at least 10 years, before diagnosis and treatment. Here we are reporting a case of acromegaly who initially presented with features of left ventricular failure for which she got herself admitted in CCU and was treated conservatively. Later on, after clinical examination and investigations she was diagnosed as a case of mitral regurgitation due to cardiomyopathy caused by acromegaly. After the successful transsphenoidal resection of the pituitary microadenoma, the level of GH was normalized and heart failure improved.

Key words: acromegaly; heart failure; Pituitary microadenoma.

DOI: http://dx.doi.org/10.3329/bsmmuj.v4i2.8644

BSMMU J 2011; 4(2):122-124

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How to Cite
Arafat, S., Azad, M., Rahman, R., Ananna, M., Aziz, A., Ahmed, Q., Hasan, M., & Abdullah, A. (1). Acromegaly Presenting as Cardiac Failure - A Case Report. Bangabandhu Sheikh Mujib Medical University Journal, 4(2), 122-124. https://doi.org/10.3329/bsmmuj.v4i2.8644
Section
Case Reports