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Thyroid Echography-induced Thyroid Storm and Exacerbation of Acute Heart Failure

Authors :
Ryo Sugiura
Hisayuki Okada
Daichi Isomura
Keisuke Nakabayashi
Toshiaki Suzuki
Hideki Saito
Ryotaro Asano
Hidekimi Nomura
Toshiaki Oka
Naomi Nakazawa
Source :
Internal medicine (Tokyo, Japan). 55(16)
Publication Year :
2016

Abstract

Hyperthyroidism and thyroid storm affect cardiac circulation in some conditions. Several factors including trauma can induce thyroid storms. We herein describe the case of a 57-year-old woman who experienced a thyroid storm and exacerbation of acute heart failure on thyroid echography. She initially demonstrated a good clinical course after medical rate control for atrial fibrillation; however, thyroid echography for evaluating hyperthyroidism led to a thyroid storm and she collapsed. A multidisciplinary approach stabilized her thyroid hormone levels and hemodynamics. Thus, the medical staff should be prepared for a deterioration in the patient's condition during thyroid echography in heart failure patients with hyperthyroidism.

Details

ISSN :
13497235
Volume :
55
Issue :
16
Database :
OpenAIRE
Journal :
Internal medicine (Tokyo, Japan)
Accession number :
edsair.doi.dedup.....1bcbaeda7d68566581ac900b5044f30e