Department of Medicine, Pocono Medical Center, The Commonwealth Medical College, East Stroudsburg, PA 18301 USA.
Heart Lung. 2013 Jul-Aug;42(4):267-9. doi: 10.1016/j.hrtlng.2013.04.002. Epub 2013 May 24.
The administration of iodinated contrast medium may lead to excess free thyroid hormone release and cause thyroid storm. A woman presented to the emergency department with dyspnea, hemoptysis, and intermittent bilateral lower extremities edema. Physical examination revealed mildly enlarged thyroid. Patient underwent a computed tomography scan of the chest with intravenous iodinated contrast medium to rule out pulmonary embolism, the patient developed a thyroid storm second to iodinated contrast medium injection. Proper treatment was provided and the patient had a good outcome. We present this case of an unusual presentation of a thyroid storm with cardiac arrest. This case illustrates that evaluating thyroid function tests in patients with an enlarged thyroid prior to the administration of iodinated contrast medium could prevent the development of thyroid storm.
给予碘造影剂可能导致甲状腺激素过量释放，引起甲状腺危象。一位女性因呼吸困难、咯血和间歇性双侧下肢水肿就诊于急诊科。体格检查发现甲状腺轻度肿大。患者行胸部 CT 检查并静脉注射碘造影剂以排除肺栓塞，患者在注射碘造影剂后发生甲状腺危象。给予了适当的治疗，患者预后良好。我们报告了这例以心脏骤停为表现的甲状腺危象不常见病例。该病例说明，在给予碘造影剂前评估甲状腺功能检查可以预防甲状腺危象的发生。
