Stephen D. MacKerrow, MD; Larry A. Osborn, MD; Howard Levy, MD; R. Phillip Eaton, MD; Peter Economou, MD
We present the case of a patient who developed cardiogenic shock related to secondary hypothyroidism, which was reversed by parenteral L-triiodothyronine
An otherwise healthy 48-year-old Hispanic woman presented with progressive exertional dyspnea, orthopnea, fatigue, cold-intolerance, and facial swelling for 2 months. She was unable to lactate after her last pregnancy.
She had mild tachypnea, features of myxedema, a temperature of 36.9 °C, blood pressure of 98/67 mm Hg, and heart rate of 93 beats/min. The thyroid gland was nonpalpable. Bibasilar rales were present. Cardiac auscultation revealed an S4.
Results of serum sodium, potassium, blood urea nitrogen (BUN),
MacKerrow SD, Osborn LA, Levy H, Eaton RP, Economou P. Myxedema-associated Cardiogenic Shock Treated with Intravenous Triiodothyronine. Ann Intern Med. ;117:1014–1015. doi: 10.7326/0003-4819-117-12-1014
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Published: Ann Intern Med. 1992;117(12):1014-1015.
Acute Coronary Syndromes, Cardiology, Coronary Heart Disease, Endocrine and Metabolism, Thyroid Disorders.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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