Document Detail


Extracorporeal Membrane Oxygenation Rescues Thyrotoxicosis-Related Circulatory Collapse.
MedLine Citation:
PMID:  21385078     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background: Heart failure is one of the best-known complications of thyrotoxicosis. Thyrotoxicosis-induced heart failure sometimes causes circulatory collapse with a high mortality. There is little published information regarding venous-artery mode extracorporeal membrane oxygenation (V-A mode ECMO) to treat circulatory collapse in patients with thyrotoxicosis. Here, we present four patients who received this treatment. Summary: We present four patients of severe heart failure secondary to severe thyrotoxicosis. All patients suffered from cardiovascular collapse initially. In addition to primary resuscitation and the antithyroid drugs provided, ECMO was applied for temporally hemodynamic support. One patient expired, and the other three patients successfully recovered from heart failure under the support of V-A mode ECMO. The thyroid function also returned to normal range. Conclusion: Patients experiencing heart failure due to severe thyrotoxicosis should be admitted to intensive care unit for close hemodynamic monitor. In addition, mechanical circulatory support such as ECMO should be provided immediately once circulatory collapse occurs.
Authors:
Li-Min Hsu; Wen-Jo Ko; Chih-Hsien Wang
Related Documents :
18286318 - Exaggerated auditory startle responses in patients with spinal cord injury.
7611738 - Absorbable gelatin powder injection for transient vocal cord paralysis.
1088368 - Electrical stimulation in multiple sclerosis.
14678378 - Apomorphine sublingual as primary or secondary treatment for erectile dysfunction in pa...
3408108 - Follow-up study of recurrent parotitis in children.
22361978 - The spectrum of clinicopathological features in pure autonomic neuropathy.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-8
Journal Detail:
Title:  Thyroid : official journal of the American Thyroid Association     Volume:  -     ISSN:  1557-9077     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9104317     Medline TA:  Thyroid     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1 Departments of Surgery and Traumatology, National Taiwan University Hospital , Taipei, Taiwan .
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Acute thyrotoxicosis secondary to destructive thyroiditis associated with cardiac catheterization co...
Next Document:  Upregulation of endocrine gland-derived vascular endothelial growth factor in papillary thyroid canc...