{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T17:12:10Z","timestamp":1770743530989,"version":"3.49.0"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T00:00:00Z","timestamp":1719446400000},"content-version":"vor","delay-in-days":178,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Endocrinology"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Primary adrenal insufficiency is an uncommon condition that manifests as nonspecific symptoms such as fatigue, weight loss, salt craving, and hyperpigmentation. Common cardiovascular presentations of AI are hypotension, arrhythmias, and syncope. However, acute heart failure is an uncommon presentation. <jats:italic>Case Presentation<\/jats:italic>. Here, a 26\u2010year\u2010old man was hospitalized with vasopressor\u2010resistant cardiogenic shock, which was finally attributed to an adrenal crisis. His past medical history was notable for Hashimoto\u2019s disease, controlled with oral levothyroxine. <jats:italic>Conclusion<\/jats:italic>. AI should be considered among patients with cardiogenic shock who are unresponsive to conventional inotropes. Additionally, a history of autoimmune diseases may increase the suspicion of AI. Although the presentation of cardiogenic shock in a patient with undiagnosed AI is considered a rarity, delay in prompt treatment can lead to life\u2010threatening conditions.<\/jats:p>","DOI":"10.1155\/2024\/5759629","type":"journal-article","created":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T13:21:32Z","timestamp":1719494492000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Acute Heart Failure as a First Manifestation of Primary Adrenal Insufficiency: Highly Lethal If Not Diagnosed!"],"prefix":"10.1155","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4809-4072","authenticated-orcid":false,"given":"Maryam","family":"Heidarpour","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5637-9864","authenticated-orcid":false,"given":"Mohammad Mehdi","family":"Zare","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7115-242X","authenticated-orcid":false,"given":"Shiva","family":"Armani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6524-416X","authenticated-orcid":false,"given":"Hedie","family":"Torkashvan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7199-5696","authenticated-orcid":false,"given":"Sadegh","family":"Mazaheri-Tehrani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7999-2393","authenticated-orcid":false,"given":"Davood","family":"Shafie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,27]]},"reference":[{"key":"e_1_2_8_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ando.2017.10.010"},{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)00136-7"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2021.720769"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12020-020-02571-3"},{"key":"e_1_2_8_5_2","doi-asserted-by":"crossref","unstructured":"MozolevskaV. 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Addison\u2019s disease and dilated cardiomyopathy: a case report and review of the literature 2016 4362514.","DOI":"10.1155\/2016\/4362514"},{"key":"e_1_2_8_6_2","first-page":"377","article-title":"Reversible cardiomyopathy associated with Addison\u2019s disease","volume":"16","author":"Afzal A.","year":"2000","journal-title":"The Canadian Journal of Cardiology"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2006.07.207"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-020-02461-2"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.2459\/JCM.0b013e328011c256"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000000001"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2021.720154"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-15-1242"}],"container-title":["Case Reports in Endocrinology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/2024\/5759629","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T13:21:41Z","timestamp":1719494501000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/2024\/5759629"}},"subtitle":[],"editor":[{"given":"Toshihiro","family":"Kita","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1155\/2024\/5759629"],"URL":"https:\/\/doi.org\/10.1155\/2024\/5759629","archive":["Portico"],"relation":{},"ISSN":["2090-6501","2090-651X"],"issn-type":[{"value":"2090-6501","type":"print"},{"value":"2090-651X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"2023-12-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"5759629"}}