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Published on: May 28, 2019
Acute myocardial infarction and thyrotoxic storm--a difficult and dangerous combination
H Opdahl1, J Eritsland, E Søvik
1Intensive Care Unit, Division of Surgery, Ullevål University Hospital, 0407 Oslo, Norway. helge.opdahl@ulleval.no
Abstract:
We describe an unusual case of acute myocardial infarction (AMI) and cardiogenic shock in a 25-year-old woman. After coronary revascularization, a thyrotoxic storm developed and the patient's cardiac failure changed into a hyperdynamic circulation without obvious changes in the patient's vital signs. This report will focus on three issues: (1) the benefit of advanced hemodynamic monitoring in circulatory unstable patients, (2) the confounding effects of untreated hyperthyroidism on the circulation, and (3) previous cancer treatment as a cause of AMI in young persons.
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