In this, the second issue of Cardiovascular Endocrinology, some examples of the many intersections between cardiovascular medicine and endocrine disorders are presented.
In an observational hospital-based study, Lagi and Cencetti examine the hypothesis that hypoglycaemia may present as syncope. In the oft-encountered clinical scenario of transient loss of consciousness presenting without an immediately apparent cause semantic issues have the potential to distract. For clinicians faced with what is an extensive differential diagnosis such considerations should not impede rapid exclusion of hypoglycaemia, particularly in the older person who may have diabetes but might be unable to provide a history of glucose-lowering medication.
A case report by Mordi and Tzemos offers a reminder that endocrine disorders should be borne in mind when faced with hypertension that is apparently resistant to pharmacotherapy. In terms of prevalence, primary hypothyroidism heads the list of endocrinopathies associated with hypertension. The absence of classic symptoms or signs, such as bradycardia, should not deter exclusion of this eminently treatable disorder.
The trend towards ever more narrowly focused clinical sub-specialisation inevitably brings the downside of reduced proficiency in other aspects of clinical practice. For example, expertise in electrocardiography tends to be regarded as the remit of the cardiologist rather than the endocrinologist. This said, diabetologists who care for patients with cardiovascular disease on a daily basis might be expected to feel confident when presented with a standard 12-lead electrocardiogram. In an instructive report, Omar et al. draw attention to an uncommon but well-recognized electrocardiographic abnormality – the Osborn wave – that carries important clinical implications for endocrinologists and cardiologists alike.
Cardiovascular Endocrinology welcomes clinical papers that illustrate the convergence of cardiovascular medicine and endocrinology. The content does not need to be esoteric or novel so much as educational and of relevance to a multi-specialty readership. Please consider submitting a contribution. Writing up clinical reports under supervision can be a helpful exercise for junior staff and is encouraged.
Conflicts of interest
There are no conflicts of interest.