56-year-old man
with MRI suggestive of pituitary macroadenoma with campimetric alteration and panhypopituitarism.
Admitted from the emergency room due to severe hypokalemia. He has reported for 1 month clinical symptoms of asthenia, generalized weakness, postprandial food vomiting with weight loss of around 12kg, usual weight 92kg. For 15 days it has been accompanied by a progressive holocranial headache with presyncopal episodes (sweating, dizziness and feeling of loss of consciousness). He also reported frequency with unquantified polyuria, nocturia up to 8 times each night, without associated voiding syndrome.
Ischemic cardiomyopathy with Cardiac resynchronization therapy with a pacemaker (CRT-P)