Searchable abstracts of presentations at key conferences in endocrinology

ea0086p352 | Neuroendocrinology and Pituitary | SFEBES2022

The heart bleeds – complex management of a patient with acromegaly, cardiomyopathy and mechanical mitral valve

Sharma Aditi , Nyunt Sandhi , Narula Kavita , Mitchell Catherine , Mendoza Nigel , Yong Yong , Hatfield Emma , Meeran Karim , Martin Niamh

A 44 year old gentleman presented to his local hospital with a two week history of fevers and rigors. Blood cultures were positive for Streptococcus oralis, and an echocardiogram confirmed new diagnosis of hypertrophic cardiomyopathy (HCM) complicated by mitral valve infective endocarditis (IE). Unfortunately, this required a mechanical mitral valve replacement (MVR) and he started warfarin (INR target 2.5-3.5). During his admission, he reported chronic headaches. An MRI brain...

ea0077p125 | Thyroid | SFEBES2021

Catastrophic complication related to uncontrolled thyrotoxicosis

Sehgal Somanshi , Jain Manushri , Dwivedi Shivangi , Buch Harit , Ahmad Saqib

Presentation: A 32-year-old woman was brought to the Emergency Department following an out-of-hospital cardiac arrest. CPR was started by a neighbour and on arrival, she was found to be in ventricular fibrillation (VF). She received 4 DC-shocks and reverted to atrial fibrillation with fast ventricular rate and staged a full cognitive and haemodynamic recovery. She had a 10-year history of Graves’ thyrotoxicosis for which she was on Carbimazole but remained uncontrolled du...

ea0032p905 | Pituitary – Clinical (<emphasis role="italic">Generously supported by IPSEN</emphasis>) | ECE2013

The effects of cabergoline treatment on cardiac valves in patients with prolactinoma

Sarac Fulden , Sarac Sefa , Tutuncuoglu Pelin

Introduction: Dopamine agonists have been reported to increase the risk of cardiac valve regurgitation in valve disease risks for 3 years treatment with cabergoline in patients with prolactinma. The aim of the study was to evaluate the frequency of cardiac valve diseases and regurgitation in patients with prolactinoma at the end of 3 years.Subjects and method: Thirty-one patients with prolactinoma who had received cabergoline following 3 years were enrol...

ea0003p280 | Thyroid | BES2002

Thyrotoxic heart failure in a previously fit 40 year old woman

Banerjee M , Javaid K , Khan S , Vice P

Hyperthyroidism has a profound effect on the cardiovascular system. Heart failure is common in the elderly patients with hyperthyroidism who have co-existing cardiac disease.We report a case of severe heart failure in a 43-year-old woman with Graves' disease. She presented with cough and breathlessness for 3 weeks. There was a strong family history of thyroid disease. On presentation, she had florid hyperthyroidism with features of Graves' disease. Exam...

ea0090ep752 | Pituitary and Neuroendocrinology | ECE2023

Response to quinagolide of a pituitary prolactin macroadenoma

Amel Rahal

Introduction: The treatment of prolactin adenomas is medical based on the use of dopaminergic agonists but the presence of an underlying valvulopathy makes the treatment by cabergoline delicate.Clinical case: We report the case of a 60 year old female patient, operated on for aortic valve disease, with moderate mitral leakage. On the occasion of a decrease in visual acuity; a prolactin macro adenoma is diagnosed In agreement with the cardiologist; we opt...

ea0090ep851 | Pituitary and Neuroendocrinology | ECE2023

Echocardiographic features in patients with prolactinoma long-term treated with dopamine agonists

Carmen Giuca Diandra , Constantin Vere Cristin , Nitu Ileana , Capatina Cristina , Baciu Ionela , Florentina Burcea Iulia , Baculescu Nicoleta , Radian Serban , Simona Andreea Găloiu , Trifanescu Raluca , Poiana Catalina

Background: Dopamine agonists (DAs) were associated with valvular dysfunction in patients with Parkinson’s disease due to their fibrotic effect through the serotoninergic receptor. It is more difficult to prove the same effects in patients with prolactinoma due to the lower doses, variable doses and the longer follow-up period. Aim: To assess echocardiographic features in patients with prolactinoma under DA treatment.Methods: ...

ea0081ep805 | Pituitary and Neuroendocrinology | ECE2022

Endocrinopathy behind the facemask

Nyunt Sandhi , Avari Parizad , Tarigopula Giridhar , Martin Niamh , Mitchell Catherine , Ling Yong Yong

A 44-year-old gentleman presented to the Emergency Department with a 2-week history of fevers and rigors. Past medical history was unremarkable other than an earlier diagnosis of hypertension. He was noted to have new onset atrial fibrillation with rapid ventricular response, and a new diagnosis of hypertrophic obstructive cardiomyopathy (HOCM) was made on echocardiography. In addition, a vegetation was identified on the mitral valve. Treatment for infective endocarditis (Stre...

ea0050ep055 | Diabetes and Cardiovascular | SFEBES2017

Diabetes presenting as spontaneous hypoglycemia. Is it possible?

Zaidi Muhammad Shoaib , AlRubeaan Khalid

Diabetes can manifest not only with hyperglycemia,but also as hypoglycemia. It typically occurs postprandially,3-5 hrs after meals and is preceded by early post meals hyperglycemia.58 yrs old Saudi gentleman had Type 2 diabetes for 5 yrs,dyslipidemia,Mitral valve disease,Bronchial asthma, GERD,vitamin D deficiency,BPH and depressive illness. He had presented to the outpatient Diabetes clinic in November, 2015 with post-p...

ea0050ep055 | Diabetes and Cardiovascular | SFEBES2017

Diabetes presenting as spontaneous hypoglycemia. Is it possible?

Zaidi Muhammad Shoaib , AlRubeaan Khalid

Diabetes can manifest not only with hyperglycemia,but also as hypoglycemia. It typically occurs postprandially,3-5 hrs after meals and is preceded by early post meals hyperglycemia.58 yrs old Saudi gentleman had Type 2 diabetes for 5 yrs,dyslipidemia,Mitral valve disease,Bronchial asthma, GERD,vitamin D deficiency,BPH and depressive illness. He had presented to the outpatient Diabetes clinic in November, 2015 with post-p...

ea0082p6 | Poster Presentations | SFEEU2022

Endocrinopathy behind the facemask

Nyunt Sandhi , Avari Parizad , Tarigopula Giridhar , Mitchell Catherine , Yong Ling Yong , Martin Niamh

Case history: A 44-year-old gentleman presented to A&E with a 2-week history of fevers and rigors. He gave a background history of hypertension. He was noted to have new onset atrial fibrillation with rapid ventricular response, and a new diagnosis of hypertrophic obstructive cardiomyopathy (HOCM) was made on echocardiography. A vegetation identified on the mitral valve led to an unexpected diagnosis of infective endocarditis. Antibiotic treatment for infective endocarditi...