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Mechanical circulatory support for thyrotoxicosis-induced cardiomyopathy
Nikita Dhir1, Travis Haneke2, Timothy Mixon2
1Department of Internal Medicine, Baylor Scott and White Medical Center - Temple, Temple, Texas.
Proceedings (Baylor University. Medical Center)
|March 6, 2023
Summary
Thyroid storm can cause cardiogenic shock, but mechanical circulatory support offers a bridge to recovery. This case highlights successful Impella device use in a patient with thyrotoxicosis, leading to full recovery.
Area of Science:
- Cardiology
- Endocrinology
Background:
- Thyroid storm is a critical condition with potential cardiac complications.
- Mechanical circulatory support (MCS) devices are emerging as vital interventions.
Observation:
- A patient presented with thyrotoxicosis, hemodynamic instability, and reduced ejection fraction.
- Impella device placement was necessary due to severe cardiogenic shock.
Findings:
- The patient received methimazole, Lugol's iodine, and hydrocortisone for thyroid storm treatment.
- Following treatment, the patient was successfully weaned off the Impella device and recovered fully.
Implications:
- Mechanical circulatory support can serve as a crucial bridge therapy for reversible causes of cardiogenic shock.
- This case demonstrates the efficacy of MCS in managing severe cardiac dysfunction secondary to thyroid storm.
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