DOI: 10.12890/2024_004958

Iatrogenic cardiac arrest during thyroid storm

Authors

  • Taha Mansoor Department of Internal Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, USA
  • Jaspreet Kaur Department of Internal Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, USA
  • Maninder Randhawa Department of Internal Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, USA
  • Anand Rai Department of Internal Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, USA
  • Dylan Yu Department of Internal Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, USA
  • Fatima Iqbal Khan Department of Internal Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, USA
  • Santhosh Koshy Department of Internal Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, USA; Department of Cardiology, Ascension Borgess Hospital, Kalamazoo, USA

taha.mansoor@wmed.edu

Keywords

Thyroid storm, cardiac arrest, beta blockers, cardiomyopathy

Abstract

Introduction: Thyroid storm is a life-threatening condition with often severe cardiac implications. Correct treatment choices can vary depending on underlying cardiac systolic function.
Case description: We present a case of a 47-year-old male with untreated Grave’s disease who presented with a thyroid storm. After propranolol administration, he experienced a cardiac arrest with the return of spontaneous circulation after cardiopulmonary resuscitation. Further evaluation revealed severe thyroid-induced cardiomyopathy with left ventricular ejection fraction of 15–20%, which had decreased from 60–65% over one year. The patient was discharged home on hospital day 8 after an unremarkable ischaemic work-up. He experienced a full cardiac systolic function recovery with an ejection fraction of 60–65% at the 90-day follow-up.
Conclusion: Thyroid storm can present with overt or subclinical heart failure. Prompt evaluation of cardiac systolic function with a transthoracic echocardiogram before beta-blockade and the use of shorter-acting beta blockers can prevent devastating suppression of myocardial function.

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References

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Published

2024-11-04

Issue

Vol. 11 No. 12 (2024)

Categories

How to Cite

1.
Mansoor T, Kaur J, Randhawa M, Rai A, Yu D, Khan FI, et al. Iatrogenic cardiac arrest during thyroid storm. EJCRIM [Internet]. 2024 Nov. 4 [cited 2026 Nov. 3];11(12). Available from: https://ejcrim.com/index.php/ejcrim/article/view/4958

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