Mechanical circulatory support for thyrotoxicosis-induced cardiomyopathy.

Cardiogenic shock Impella cardiomyopathy thyrotoxicosis

Journal

Proceedings (Baylor University. Medical Center)
ISSN: 0899-8280
Titre abrégé: Proc (Bayl Univ Med Cent)
Pays: United States
ID NLM: 9302033

Informations de publication

Date de publication:
2023
Historique:
entrez: 6 3 2023
pubmed: 7 3 2023
medline: 7 3 2023
Statut: epublish

Résumé

Thyroid storm is a life-threatening condition which, in rare cases, may lead to cardiogenic shock and dysrhythmias. Mechanical circulatory support with an Impella device or extracorporeal membrane oxygenation may be used as a bridge to recovery in these cases. This case involves a patient with thyrotoxicosis and reduced ejection fraction and hemodynamic instability requiring Impella device placement. After treatment with methimazole, Lugol's iodine, and hydrocortisone, he was weaned off mechanical circulatory support and made a full recovery. Mechanical circulatory support devices can be a useful bridging tool in reversible causes of cardiogenic shock, such as thyroid storm.

Identifiants

pubmed: 36876277
doi: 10.1080/08998280.2022.2139956
pii: 2139956
pmc: PMC9980612
doi:

Types de publication

Case Reports

Langues

eng

Pagination

211-212

Informations de copyright

Copyright © 2022 Baylor University Medical Center.

Déclaration de conflit d'intérêts

The authors report no funding or conflicts of interest. The patient gave consent for the case to be published.

Références

J Am Heart Assoc. 2017 Oct 20;6(10):
pubmed: 29054842
Front Physiol. 2021 Oct 18;12:606931
pubmed: 34733168
Cureus. 2020 May 20;12(5):e8213
pubmed: 32582474
Curr Heart Fail Rep. 2008 Sep;5(3):170-6
pubmed: 18752767
Eur Heart J Case Rep. 2021 Feb 04;5(2):ytab017
pubmed: 33569532
Circ Heart Fail. 2020 May;13(5):e006698
pubmed: 32354278
Clin Case Rep. 2021 Feb 16;9(3):1104-1109
pubmed: 33768791
Ther Adv Endocrinol Metab. 2010 Jun;1(3):139-45
pubmed: 23148158

Auteurs

Nikita Dhir (N)

Department of Internal Medicine, Baylor Scott and White Medical Center - Temple, Temple, Texas.

Travis Haneke (T)

Division of Cardiology, Baylor Scott and White Medical Center - Temple, Temple, Texas.

Timothy Mixon (T)

Division of Cardiology, Baylor Scott and White Medical Center - Temple, Temple, Texas.

Classifications MeSH