Introduction: Functional integrity of the hypothalamic pituitary axis is disrupted\nduring severe infection or stress. The observed blunted response to\ncorticotropin was interpreted as impaired secretory reserve of the adrenal\nglands and was termed as relative adrenocortical insufficiency. Aim of the\nwork: To study the incidence of adrenal insufficiency in patients developed\ncardiogenic shock complicating ST segment elevation myocardial infarction.\nMaterials and methods: Prospective cohort study was done for 90 patients\nadmitted to Algalaa Hospital for whom basal cortisol and ACTH level were\nmeasured immediately before a standard-dose (250 micro g) ACTH stimulation\ntest (SST) and 60 minutes after SST�����
Loading....