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Utility of esmolol in thyroid crisis
Jasleen Duggal1, Sarabjeet Singh, Paulina Kuchinic
11Department of Medicine, Chicago Medical School, Chicago, IL, USA.
Summary
Thyroid storm, a severe hyperthyroidism complication, demands prompt treatment to reduce high mortality rates. This case highlights esmolol
Area of Science:
- Endocrinology
- Cardiology
Background:
- Thyroid storm is a rare but critical hyperthyroid complication with high mortality.
- Effective management requires prompt diagnosis and combined therapeutic strategies.
Observation:
- A 25-year-old woman with Graves disease and asthma presented with thyrotoxic crisis.
- Initial presentation included signs and symptoms indicative of a thyroid storm.
Findings:
- Treatment involved combined therapy, notably an esmolol infusion for managing hypersympathetic activity.
- Esmolol provided effective control of adrenergic symptoms during the crisis.
Implications:
- This case underscores the importance of timely and aggressive management in thyroid storm.
- Beta-blocker selection, such as esmolol, is crucial for controlling hyperadrenergic symptoms in thyrotoxic crisis.
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