A rare case of hypokalemic ventricular tachycardia in a patient with thyrotoxic periodic paralysis.

Hypokalemia paralysis thyrotoxicosis ventricular tachycardia

Journal

International journal of critical illness and injury science
ISSN: 2229-5151
Titre abrégé: Int J Crit Illn Inj Sci
Pays: India
ID NLM: 101571136

Informations de publication

Date de publication:
Historique:
received: 31 05 2017
revised: 14 08 2019
accepted: 20 09 2019
entrez: 28 12 2019
pubmed: 28 12 2019
medline: 28 12 2019
Statut: ppublish

Résumé

Thyrotoxic periodic paralysis (TPP) is a potentially fatal complication of hyperthyroidism, characterized by recurrent muscle paralysis and hypokalemia. We present a case of a 32-year-old apparently healthy male patient, who presented with acute paraparesis associated with hypokalemia (K: 1.6 mmol/L), complicated by ventricular tachycardia (VT). Advanced cardiac life support was initiated with an amiodarone infusion, and eventually QRS complex narrowed and wide complex tachycardia resolved. Intravenous potassium chloride (KCl) 40 mEq over 2-3 h and oral KCL 40 mEq were administered to treat the electrolyte imbalance. Patient paralysis was quickly reversed; motor function was regained with movement of the lower extremities. This case highlights the importance of early recognition and prompt treatment of TPP as a differential diagnosis for muscle weakness, especially in the setting of severe hypokalemia. It is important to pay attention to the possibility of the development of lethal VT associated with hypokalemia in the setting of hyperthyroidism and thyrotoxic paralysis.

Identifiants

pubmed: 31879609
doi: 10.4103/IJCIIS.IJCIIS_39_17
pii: IJCIIS-9-199
pmc: PMC6927127
doi:

Types de publication

Case Reports

Langues

eng

Pagination

199-202

Informations de copyright

Copyright: © 2019 International Journal of Critical Illness and Injury Science.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

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Auteurs

Bader Abu Ghalyoun (BA)

Department of Cardiology, St. Joseph's Regional Medical Center, Affiliate of New York Medical College of Medicine, Paterson, Newark, NJ, USA.

Ibrahim Khaddash (I)

Department of Cardiology, St. Joseph's Regional Medical Center, Affiliate of New York Medical College of Medicine, Paterson, Newark, NJ, USA.

Dema Shamoon (D)

Department of Cardiology, St. Joseph's Regional Medical Center, Affiliate of New York Medical College of Medicine, Paterson, Newark, NJ, USA.

Hamid Shaaban (H)

Department of Internal Medicine, St. Michael's Medical Center, Affiliate of New York Medical College of Medicine, Newark, NJ, USA.

Michael Hanna (M)

Department of Cardiology, St. Joseph's Regional Medical Center, Affiliate of New York Medical College of Medicine, Paterson, Newark, NJ, USA.

Satish Tiyyagura (S)

Department of Cardiology, St. Joseph's Regional Medical Center, Affiliate of New York Medical College of Medicine, Paterson, Newark, NJ, USA.

Mourad Ismail (M)

Department of Critical Care, St. Joseph's Regional Medical Center, Affiliate of New York Medical College of Medicine, Paterson, Newark, NJ, USA.

Classifications MeSH