Document Detail

Thyrotoxic heart disease.
MedLine Citation:
PMID:  16806643     Owner:  NLM     Status:  MEDLINE    
Patients with tachyarrythmias as a result of thyroid storm have been typically treated with beta-blockers to decrease the heart rate and alleviate beta-receptor mediated symptoms such as anxiety and tremulousness. We report an unusual case of a previously well young man presenting to the emergency department with atrial flutter and who was clinically hyperthyroid. The patient was treated with propanolol to control his heart rate but suffered cardiovascular collapse. Although the patient was successfully resuscitated, he required inotropic support and intra-aortic balloon pump. The use of propanolol should be carefully considered in patients with thyrotoxic cardiomyopathy especially in those with heart failure because of the risk of exacerbation.
Adeline Su-Yin Ngo; Daryl Chen Lung Tan
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-06-27
Journal Detail:
Title:  Resuscitation     Volume:  70     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-08-14     Completed Date:  2007-03-29     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  287-90     Citation Subset:  IM    
Department of Emergency Medicine, Singapore General Hospital, Outram Road, 169608 Singapore, Singapore.
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MeSH Terms
Anti-Arrhythmia Agents / adverse effects*,  therapeutic use
Atrial Flutter / drug therapy*,  etiology*
Propranolol / adverse effects*,  therapeutic use
Shock / chemically induced*
Thyroid Crisis / complications*
Reg. No./Substance:
0/Anti-Arrhythmia Agents; 525-66-6/Propranolol

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

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