Stephen D. MacKerrow, MD; Larry A. Osborn, MD; Howard Levy, MD; R. Phillip Eaton, MD; Peter Economou, MD
MacKerrow SD, Osborn LA, Levy H, Eaton RP, Economou P. Myxedema-associated Cardiogenic Shock Treated with Intravenous Triiodothyronine. Ann Intern Med. 1992;117:1014-1015. doi: 10.7326/0003-4819-117-12-1014
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Published: Ann Intern Med. 1992;117(12):1014-1015.
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),
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Cardiology, Endocrine and Metabolism, Thyroid Disorders, Acute Coronary Syndromes, Coronary Heart Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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