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Published on: February 26, 2013
Esmolol Is Not the Solution: Thyroid Storm With Atrial Fibrillation
Zaid N Herzallah1, Shreya Gupta2, Maryam D Abdulhamid1
1Emergency Medicine, Rashid Hospital Trauma Center/Dubai Health Authority (DHA), Dubai, ARE.
Abstract:
Thyroid storm is a challenging medical emergency that requires urgent assessment and management in a timely manner. In this article, we report on a case of a 37-year-old female who presented to the emergency department with a thyroid storm complicated by atrial fibrillation (AF) with a rapid ventricular response with no clinical signs of heart failure. As part of her medical management to rate control her AF, she was started on an infusion of a short-acting beta blocker, esmolol, and shortly after, she developed cardiac arrest. This is the second case report published to highlight the significant response (cardiac arrest) of patients with thyroid storm complicated by AF to a low dose esmolol infusion as part of their medical management.
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