Abstract| Volume 23, ISSUE 10, SUPPLEMENT , S48, October 2017

Rescue of Graves Thyrotoxicosis-induced Cardiogenic Shock without Antithyroid Drugs: The Role of Amiodarone

      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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