Document Detail


Thyrotoxic periodic paralysis complicated by near-fatal ventricular arrhythmias.
MedLine Citation:
PMID:  15678291     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 35-year-old Chinese man presented with acute thyrotoxic periodic paralysis complicated by near-fatal cardiac arrhythmias due to persistent hypokalaemia, despite maximum potassium supplementation. He was eventually resuscitated with external cadioversion. In this unusual case of severe refractory hypokalaemia leading to ventricular fibrillation in a patient with underlying thyrotoxicosis, the potential dangers concerning the use of dextrose infusion and beta-adrenergic agent for resuscitation are highlighted.
Authors:
K C Loh; L Pinheiro; K S Ng
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Singapore medical journal     Volume:  46     ISSN:  0037-5675     ISO Abbreviation:  Singapore Med J     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-01-28     Completed Date:  2005-09-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404516     Medline TA:  Singapore Med J     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  88-9     Citation Subset:  IM    
Affiliation:
Loh Keh Chuan Diabetes Thyroid and Hormone Clinic, Mount Elizabeth Medical Centre, Singapore 228510. lohkc@endocrinology.com.sg
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MeSH Terms
Descriptor/Qualifier:
Adult
Antithyroid Agents / administration & dosage
Glucose / adverse effects
Humans
Hypokalemic Periodic Paralysis / drug therapy,  etiology*
Male
Propylthiouracil / administration & dosage
Sweetening Agents / adverse effects
Thyrotoxicosis / complications*,  drug therapy
Ventricular Fibrillation / drug therapy,  etiology*
Chemical
Reg. No./Substance:
0/Antithyroid Agents; 0/Sweetening Agents; 50-99-7/Glucose; 51-52-5/Propylthiouracil

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


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