Herzallah Zaid N, Gupta Shreya, Abdulhamid Maryam D, Muhammed Noori Omar Q
Emergency Medicine, Rashid Hospital Trauma Center/Dubai Health Authority (DHA), Dubai, ARE.
Internal Medicine, Rashid Hospital Trauma Center/Dubai Health Authority (DHA), Dubai, ARE.
Cureus. 2023 Feb 20;15(2):e35201. doi: 10.7759/cureus.35201. eCollection 2023 Feb.
Thyroid storm is a challenging medical emergency that requires urgent assessment and management in a timely manner. In this article, we report on a case of a 37-year-old female who presented to the emergency department with a thyroid storm complicated by atrial fibrillation (AF) with a rapid ventricular response with no clinical signs of heart failure. As part of her medical management to rate control her AF, she was started on an infusion of a short-acting beta blocker, esmolol, and shortly after, she developed cardiac arrest. This is the second case report published to highlight the significant response (cardiac arrest) of patients with thyroid storm complicated by AF to a low dose esmolol infusion as part of their medical management.
甲状腺危象是一种具有挑战性的医疗急症，需要及时进行紧急评估和处理。在本文中，我们报告了一例37岁女性病例，该患者因甲状腺危象合并房颤伴快速心室反应就诊于急诊科，且无心力衰竭的临床体征。作为其房颤心率控制治疗的一部分，她开始静脉输注短效β受体阻滞剂艾司洛尔，不久后发生心脏骤停。这是第二篇病例报告，旨在强调甲状腺危象合并房颤患者在接受低剂量艾司洛尔静脉输注作为治疗一部分时出现的显著反应（心脏骤停）。
