Thyroid storm is an acute and life threatening endocrine emergency. Tachycardia commonly
arises in Thyroid storm and often result in rapid hemodynamic deterioration. Cardiogenic
shock is one of the leading causes of mortality. There are several conventional forms
of treatment including beta blocker, antithyroid drugs, iodine therapy, and glucocorticoids.
Management of thyrotoxicosis-induced cardiogenic shock can be challenging, given that
thionamides are slow acting and may cause serious liver damage and beta-blockers may
have potentially negative inotropic effects. We report the first case of thyrotoxicosis-induced
cardiogenic shock in which both amiodarone and cardiopulmonary supportive efforts
were used to recovery from shock state without antithyroid drugs. This case emphasizes
the crucial role of amiodarone as a bridge to recovery in Thyroid Storm.
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