Dhir Nikita, Haneke Travis, Mixon Timothy
Department of Internal Medicine, Baylor Scott and White Medical Center - Temple, Temple, Texas.
Division of Cardiology, Baylor Scott and White Medical Center - Temple, Temple, Texas.
Proc (Bayl Univ Med Cent). 2022 Nov 7;36(2):211-212. doi: 10.1080/08998280.2022.2139956. eCollection 2023.
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.
甲状腺危象是一种危及生命的病症，在罕见情况下，可能导致心源性休克和心律失常。在这些病例中，可使用Impella装置或体外膜肺氧合进行机械循环支持作为恢复的桥梁。本病例涉及一名患有甲状腺毒症、射血分数降低且血流动力学不稳定的患者，需要植入Impella装置。在用甲巯咪唑、卢戈氏碘和氢化可的松治疗后，他脱离了机械循环支持并完全康复。机械循环支持装置在诸如甲状腺危象等心源性休克的可逆病因中可以是一种有用的过渡工具。
