Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Hemodynamic changes in acute adrenal insufficiency

G Bouachour1, P Tirot, N Varache

  • 1Service de Réanimation Médicale, Centre Hospitalier Universitaire, Angers, France.

Intensive Care Medicine
|January 1, 1994
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

European viper envenomation recorded by French poison control centers: A clinical assessment and management study.

Toxicon : official journal of the International Society on Toxinology·2015
Same author

Shiitake dermatitis recorded by French Poison Control Centers - new case series with clinical observations.

Clinical toxicology (Philadelphia, Pa.)·2014
Same author

Triketone toxicity: a report on two cases of sulcotrione poisoning.

Human & experimental toxicology·2013
Same author

Lithium poisoning: the value of early digestive tract decontamination.

Clinical toxicology (Philadelphia, Pa.)·2013
Same author

[Lead poisoning by fishing sinker ingestion].

La Revue de medecine interne·2012
Same author

[Nemaline rod myopathy revealed by acute respiratory failure after an outpatient cataract surgery].

Annales francaises d'anesthesie et de reanimation·2012
Same journal

Publisher Correction: Current knowledge and challenges of sepsis-associated encephalopathy.

Intensive care medicine·2026
Same journal

Prehospital airway and ventilatory management: a collaborative and narrative review.

Intensive care medicine·2026
Same journal

Rapid coma with bilateral basal ganglia involvement.

Intensive care medicine·2026
Same journal

From size to function: moving beyond body mass index to frailty and central adiposity phenotypes.

Intensive care medicine·2026
Same journal

Effects of a clinical metagenomics intervention on clinical outcomes, healthcare costs, and health-related quality of life in patients with sepsis or septic shock: results of the randomized-controlled DigiSep trial.

Intensive care medicine·2026
Same journal

Hypercalcemia in intensive care unit: pathophysiological mechanisms and clinical implications.

Intensive care medicine·2026
See all related articles

Acute adrenal insufficiency can cause shock, presenting as either myocardial depression or hyperdynamic shock. Glucocorticoid treatment improved cardiac function in patients with adrenal insufficiency.

Area of Science:

  • Cardiology
  • Endocrinology
  • Intensive Care Medicine

Background:

  • Acute adrenocortical insufficiency is an uncommon cause of shock.
  • Hemodynamic instability can be the primary presentation.

Purpose of the Study:

  • To describe the cardiovascular changes in patients with acute adrenal insufficiency and hemodynamic instability.

Main Methods:

  • Retrospective and prospective study design.
  • Involved 6 patients in a university hospital's medical intensive care unit.
  • Utilized right cardiac catheterization for hemodynamic assessment.

Main Results:

  • Two hemodynamic states observed: myocardial depression with hypovolemia (3 patients) or hyperdynamic shock (3 patients).

Related Experiment Videos

  • Intravenous fluid therapy could convert low cardiac output states to hyperdynamic shock.
  • Glucocorticoid treatment improved left ventricular systolic work index in 4 patients.

    • Conclusions:

    • Consider acute adrenocortical insufficiency in shock cases resembling septic shock without a clear infectious source, especially after significant fluid resuscitation.