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Hypopituitarism presenting with cardiovascular manifestations: a case report
Xiaowen Zhen1, Yufang Li1, Chenglong Ren1
1Department of Emergency, Qingdao Central Hospital, University of Health and Rehabilitation Sciences, Qingdao, China.
BMC Cardiovascular Disorders
|February 19, 2025
Summary
Hypopituitarism, a rare pituitary hormone deficiency, is hard to diagnose in older adults. This case highlights its unusual cardiovascular presentation, emphasizing the need for clinical suspicion.
Area of Science:
- Endocrinology
- Cardiology
- Geriatrics
Background:
- Hypopituitarism involves deficient pituitary hormone production, impacting various bodily functions.
- Diagnosis in older adults (≥65 years) is challenging due to non-specific symptoms.
- Cardiovascular manifestations are uncommon but critical to recognize.
Purpose of the Study:
- To report a rare case of hypopituitarism presenting with cardiovascular symptoms in an elderly patient.
- To underscore the importance of considering hypopituitarism in geriatric patients with atypical cardiac findings.
Main Methods:
- Case report of a patient aged 65 and older.
- Clinical evaluation including assessment of pituitary hormone levels.
- Diagnostic imaging of the sellar region to identify underlying causes.
- Cardiovascular assessment to characterize presenting symptoms.
Main Results:
- The patient presented with unique cardiovascular symptoms attributed to hypopituitarism.
- A sellar region tumor was identified as the cause of pituitary dysfunction.
- Timely diagnosis and management were crucial for patient outcomes.
Conclusions:
- Hypopituitarism can present atypically, even with cardiovascular symptoms, particularly in the elderly.
- A high index of suspicion is necessary for diagnosing hypopituitarism in older individuals.
- Recognizing unusual presentations is key for effective clinical management and improved patient prognosis.
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