Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Nov 7;36(2):211-212.
doi: 10.1080/08998280.2022.2139956. eCollection 2023.

Mechanical circulatory support for thyrotoxicosis-induced cardiomyopathy

Nikita Dhir  1 , Travis Haneke  2 , Timothy Mixon  2
Affiliations
Case Reports

Mechanical circulatory support for thyrotoxicosis-induced cardiomyopathy

Nikita Dhir et al. Proc (Bayl Univ Med Cent). .

Abstract

Thyroid storm is a life-threatening condition which, in rare cases, may lead to cardiogenic shock and dysrhythmias. Mechanical circulatory support with an Impella device or extracorporeal membrane oxygenation may be used as a bridge to recovery in these cases. This case involves a patient with thyrotoxicosis and reduced ejection fraction and hemodynamic instability requiring Impella device placement. After treatment with methimazole, Lugol's iodine, and hydrocortisone, he was weaned off mechanical circulatory support and made a full recovery. Mechanical circulatory support devices can be a useful bridging tool in reversible causes of cardiogenic shock, such as thyroid storm.

Keywords: Cardiogenic shock; Impella; cardiomyopathy; thyrotoxicosis.

PubMed Disclaimer

Conflict of interest statement

The authors report no funding or conflicts of interest. The patient gave consent for the case to be published.

References

    1. Voll M, Øystese KA, Høiskar E, et al. . Case report: a patient with thyroid storm, refractory cardiogenic shock, and cardiac arrest treated with Lugol’s iodine solution and veno-arterial extra corporal membrane oxygenation support. Eur Heart J Case Rep. 2021;5(2):ytab017. - PMC - PubMed
    1. Pokhrel B, Aiman W, Bhusal K.. Thyroid storm. In StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2022. - PubMed
    1. Yamakawa H, Kato TS, Noh JY, et al. . Thyroid hormone plays an important role in cardiac function: From bench to bedside. Front Physiol. 2021;12(606931):606931. - PMC - PubMed
    1. Caruso E, Iliadis E.. Cardiogenic shock in thyroid storm: a biventricular Impella (Bi-Pella) approach. Clin Case Rep. 2021;9(3):1104–1109. doi:10.1002/ccr3.3657. - DOI - PMC - PubMed
    1. Dahl P, Danzi S, Klein I.. Thyrotoxic cardiac disease. Curr Heart Fail Rep. 2008;5(3):170–176. doi:10.1007/s11897-008-0026-9. - DOI - PubMed

Publication types

LinkOut - more resources