| Thyrotoxic heart disease. | |
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MedLine Citation:
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PMID: 16806643 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Adeline Su-Yin Ngo; Daryl Chen Lung Tan |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2006-06-27 |
Journal Detail:
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Title: Resuscitation Volume: 70 ISSN: 0300-9572 ISO Abbreviation: Resuscitation Publication Date: 2006 Aug |
Date Detail:
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Created Date: 2006-08-14 Completed Date: 2007-03-29 Revised Date: 2009-08-25 |
Medline Journal Info:
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Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: Ireland |
Other Details:
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Languages: eng Pagination: 287-90 Citation Subset: IM |
Affiliation:
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Department of Emergency Medicine, Singapore General Hospital, Outram Road, 169608 Singapore, Singapore. adelinengosy@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anti-Arrhythmia Agents / adverse effects*, therapeutic use Atrial Flutter / drug therapy*, etiology* Humans Male Propranolol / adverse effects*, therapeutic use Shock / chemically induced* Thyroid Crisis / complications* |
| Chemical | |
Reg. No./Substance:
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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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