Oredegbe Al Ameen, Awad Mina
Internal Medicine, Albany Medical Center, Albany, USA.
Cureus. 2023 Apr 29;15(4):e38299. doi: 10.7759/cureus.38299. eCollection 2023 Apr.
Takotsubo cardiomyopathy (TCM) is a well-recognized non-ischemic complication of physical and emotional stressors leading to heart dysfunction. Both thyroid storm and cocaine have been implicated with TCM to varying degrees. We present the case of a 26-year-old male with Graves' disease and cocaine abuse who was hospitalized with thyroid storm resulting in takotsubo cardiomyopathy and cardiogenic shock. The patient had a long and complicated hospital course, requiring advanced therapies including extracorporeal membrane oxygenation and other medical and mechanical circulatory support therapies. With treatment for thyroid storm using antithyroid medications and steroids, the patient eventually had complete recovery of his left ventricular function and was ultimately weaned from pressors, inotropes and mechanical support.
应激性心肌病（TCM）是一种公认的由身体和情绪应激源导致心脏功能障碍的非缺血性并发症。甲状腺风暴和可卡因都在不同程度上与应激性心肌病有关。我们报告一例26岁患有格雷夫斯病且滥用可卡因的男性患者，该患者因甲状腺风暴住院，导致应激性心肌病和心源性休克。患者有漫长而复杂的住院过程，需要包括体外膜肺氧合在内的高级治疗以及其他药物和机械循环支持治疗。通过使用抗甲状腺药物和类固醇治疗甲状腺风暴，患者最终左心室功能完全恢复，并最终停用升压药、强心药和机械支持。
