To PLEX or Not to PLEX for Amiodarone-Induced Thyrotoxicosis.

Autor: Ahuja T; Department of Medicine, The Leon H. Charney Division of Cardiology, New York University Grossman School of Medicine, USA.; Department of Pharmacy, New York University Langone Health, New York, New York 10016, USA., Nuti O; Department of Pharmacy, New York University Langone Health, New York, New York 10016, USA., Kemal C; Department of Medicine, The Leon H. Charney Division of Cardiology, New York University Grossman School of Medicine, USA., Kang D; Department of Advanced Practice Practitioners, New York University Langone Health, New York, New York 10016, USA., Yuriditsky E; Department of Medicine, The Leon H. Charney Division of Cardiology, New York University Grossman School of Medicine, USA., Horowitz JM; Department of Medicine, The Leon H. Charney Division of Cardiology, New York University Grossman School of Medicine, USA., Pashun RA; Department of Medicine, The Leon H. Charney Division of Cardiology, New York University Grossman School of Medicine, USA.
Jazyk: angličtina
Zdroj: Case reports in cardiology [Case Rep Cardiol] 2023 Nov 20; Vol. 2023, pp. 1563732. Date of Electronic Publication: 2023 Nov 20 (Print Publication: 2023).
DOI: 10.1155/2023/1563732
Abstrakt: Amiodarone-induced thyrotoxicosis (AIT) carries significant cardiovascular morbidity. There are two types of AIT with treatment including antithyroid medications and corticosteroids and treatment of ventricular arrhythmias. Therapeutic plasma exchange (TPE) also known as "PLEX" may help remove thyroid hormones and amiodarone. We report a case of PLEX in an attempt to treat cardiogenic shock secondary to AIT. This case highlights the robust rapidly deleterious demise of AIT, specifically in patients with decompensated heart failure. The decision to PLEX or not to PLEX for AIT should be individualized, prior to definitive therapy.
Competing Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(Copyright © 2023 Tania Ahuja et al.)
Databáze: MEDLINE
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