Dramatic recovery of left ventricular dysfunction in a patient with pseudoaldosteronism, hypokalaemia, and rhabdomyolysis: a case report.
Shinya ItoMasashi HasebeMoriaki InokoPublished in: European heart journal. Case reports (2023)
Liquorice contains glycyrrhetinic acid that inhibits 11βHSD2. This invites the over-activation of mineralocorticoid receptors by cortisol in the kidneys and eventually causes hypokalaemia and hypertension. Acute heart failure caused by excessive liquorice ingestion is scarcely described. The triggering factors for LV dysfunction and acute congestive heart failure remain unclear. Rhabdomyolysis could affect massive catecholamine release and cause LV dysfunction.
Keyphrases
- heart failure
- acute heart failure
- left ventricular
- acute kidney injury
- oxidative stress
- blood pressure
- cardiac resynchronization therapy
- liver failure
- respiratory failure
- acute myocardial infarction
- drug induced
- hypertrophic cardiomyopathy
- weight gain
- mitral valve
- hepatitis b virus
- acute respiratory distress syndrome
- percutaneous coronary intervention
- weight loss
- aortic valve