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Case Reports
. 2005 Feb;46(2):88-9.

Thyrotoxic periodic paralysis complicated by near-fatal ventricular arrhythmias

K C Loh  1 , L Pinheiro, K S Ng
Affiliations
  • PMID: 15678291
Free article
Case Reports

Thyrotoxic periodic paralysis complicated by near-fatal ventricular arrhythmias

K C Loh et al. Singapore Med J. 2005 Feb.
Free article

Abstract

A 35-year-old Chinese man presented with acute thyrotoxic periodic paralysis complicated by near-fatal cardiac arrhythmias due to persistent hypokalaemia, despite maximum potassium supplementation. He was eventually resuscitated with external cadioversion. In this unusual case of severe refractory hypokalaemia leading to ventricular fibrillation in a patient with underlying thyrotoxicosis, the potential dangers concerning the use of dextrose infusion and beta-adrenergic agent for resuscitation are highlighted.

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