Thyrotoxicosis-an uncommon cause of heart failure

Cardiovasc Pathol. 2005 Jan-Feb;14(1):24-7. doi: 10.1016/j.carpath.2004.11.003.

Abstract

A 26-year-old man presented with high output heart failure and severe systolic left ventricular dysfunction. The underlying cause was determined to be thyrotoxicosis. With aggressive treatment of the hyperthyroid state, near-normalization of the patient's left ventricular systolic function was achieved. Unfortunately, he succumbed to pancreatitis, followed by multiple ICU complications. A brief review of the literature is provided.

Publication types

  • Case Reports

MeSH terms

  • Adrenergic beta-Antagonists / therapeutic use
  • Adult
  • Antithyroid Agents / therapeutic use
  • Drug Therapy, Combination
  • Echocardiography
  • Fatal Outcome
  • Heart Failure / etiology*
  • Heart Failure / pathology
  • Humans
  • Hydrocortisone / therapeutic use
  • Hyperthyroidism / complications*
  • Hyperthyroidism / pathology
  • Hyperthyroidism / therapy
  • Iodides / pharmacology
  • Male
  • Methimazole / therapeutic use
  • Regional Blood Flow / drug effects
  • Systole
  • Thyroid Gland / blood supply
  • Thyrotoxicosis / complications*
  • Thyrotoxicosis / pathology
  • Thyrotoxicosis / therapy
  • Ventricular Dysfunction, Left / etiology
  • Ventricular Dysfunction, Left / pathology

Substances

  • Adrenergic beta-Antagonists
  • Antithyroid Agents
  • Iodides
  • Methimazole
  • Lugol's solution
  • Hydrocortisone