Pituitary & hypothalamus

Computed Tomography Cardiac Angiography Findings in Patients With Sheehan Syndrome

Endocr PractPublished Cross-sectional study

Authors' conclusion

Approximately one-fourth of patients with SS were found to have atherosclerotic plaques in their coronary arteries, highlighting their increased susceptibility to CV morbidity and mortality.

Study context

Population
Women with Sheehan syndrome on standard replacement therapy incl. thyroxine and glucocorticoids; mean age 54.20 ± 8.27 years, mean pituitary disease duration 22.67 ± 6.27 years
Participants
30 women
Outcome
Presence of coronary artery plaques on CT cardiac angiography
Methodological detailsobservational
  • Observational

Main finding

As reported in the abstract

Coronary artery plaques on CT cardiac angiography

Coronary artery plaques

23.3%

n = 7

Noncalcified plaques

4 patients

Calcified plaques

2 patients

Both calcified and noncalcified plaques

1 patient

Observational data: associations, not effects.

Further findings

Coronary artery calcium (CAC) score risk stratification for coronary artery disease

Minimal risk (CAC 1-10)
6.7% (n = 2)
Mild risk (CAC 11-100)
16.7% (n = 5)
Moderate risk (CAC 101-400)
3.3% (n = 1)

Correlation between CAC scores and % stenosis

Strong positive correlation, r
0.96, P = .01

Original publication

Computed Tomography Cardiac Angiography Findings in Patients With Sheehan Syndrome. Endocr Pract. Published 15 April 2025. doi:10.1016/j.eprac.2025.04.006

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