“…Some evidence already exists to support a role for adrenochromes as specific mediators of cytotoxicity and cell damage, although their mechanism(s) of actions are not known at this stage (38,40,52,53). More pertinent to the cardiovascular abnormalities of septic shock is the fact that adrenochromes have been shown to be cardiotoxic and cause myocardial necrosis (52)(53)(54). If true, such adrenochrome-mediated cardiotoxicity would have adverse consequences for subjects with preexisting compromise of ventricular function and systemic O 2 delivery after coronary artery disease, hypertension, and other conditions.…”