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Updated: Aug 8, 2026

In vitro Assessment of Myocardial Protection following Hypothermia-Preconditioning in a Human Cardiac Myocytes Model
Published on: October 27, 2020
Cardiogenic shock in hypothyroidism
Mahi Lakshmi Ashwath1, Gurjaipal Kang, Mike Cunningham
1University Hospitals of Cleveland, Case Western Reserve University, Cleveland 44106, Ohio, USA. mahi.ashwath@case.edu
Abstract:
A patient with minimal coronary artery disease presented in cardiogenic shock when her previously undiagnosed hypothyroid state was complicated by an episode of AV nodal re-entrant tachycardia. She did not respond to multiple pressors, and recovered dramatically after starting thyroid supplementation. Hypothyroidism caused her lack of responsiveness to pressors and perpetuated her hypotension and increased filling pressures long after she reverted to a sinus rhythm. Our case dramatically demonstrates the severe lack of physiologic reserve that can be associated with hypothyroidism.
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