Thromboembolic complications of thyroid storm
| Autor: | S Benjamin, L Cozma, T Min |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
endocrine system
medicine.medical_specialty endocrine system diseases business.industry animal diseases Endocrinology Diabetes and Metabolism Thyroid Atrial fibrillation macromolecular substances Unique/Unexpected Symptoms or Presentations of a Disease medicine.disease Thrombosis Pulmonary embolism medicine.anatomical_structure Carbimazole Internal medicine Heart failure Internal Medicine medicine Cardiology Thyroid storm Liver function Intensive care medicine business medicine.drug |
| Zdroj: | Endocrinology, Diabetes & Metabolism Case Reports |
| ISSN: | 2052-0573 |
| DOI: | 10.1530/edm-13-0060 |
| Popis: | Summary Thyroid storm is a rare but potentially life-threatening complication of hyperthyroidism. Early recognition and prompt treatment are essential. Atrial fibrillation can occur in up to 40% of patients with thyroid storm. Studies have shown that hyperthyroidism increases the risk of thromboembolic events. There is no consensus with regard to the initiation of anticoagulation for atrial fibrillation in severe thyrotoxicosis. Anticoagulation is not routinely initiated if the risk is low on a CHADS2 score; however, this should be considered in patients with thyroid storm or severe thyrotoxicosis with impending storm irrespective of the CHADS2 risk, as it appears to increase the risk of thromboembolic episodes. Herein, we describe a case of thyroid storm complicated by massive pulmonary embolism. Learning points Diagnosis of thyroid storm is based on clinical findings. Early recognition and prompt treatment could lead to a favourable outcome. Hypercoagulable state is a recognised complication of thyrotoxicosis. Atrial fibrillation is strongly associated with hyperthyroidism and thyroid storm. Anticoagulation should be considered for patients with severe thyrotoxicosis and atrial fibrillation irrespective of the CHADS2 score. Patients with severe thyrotoxicosis and clinical evidence of thrombosis should be immediately anticoagulated until hyperthyroidism is under control. |
| Databáze: | OpenAIRE |
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