Electrical storm due to amiodarone induced thyrotoxicosis in a young adult with dilated cardiomyopathy: thyroidectomy as the treatment of choice.
For a patient with idiopathic dilated cardiomyopathy, an implantable defibrillator, and amiodarone induced thyrotoxicosis associated with ventricular fibrillation storm. Medical therapy was ineffective. Thyroidectomy resulted in immediate control of the arrhythmia and permitted reinitiation of amiodarone. At 18-month follow-up, the patient remained euthyroid on amiodarone and ventricular arrhythmia free.
Marketou
M E
ME
Cardiology Department, Heraklion University Hospital, Crete, Greece.
Simantirakis
E N
EN
Manios
E G
EG
Vardas
P E
PE
D000328:Adult; D000638:Amiodarone / Q000009:adverse effects* / Q000627:therapeutic use; D002311:Cardiomyopathy, Dilated / Q000188:drug therapy*; D017147:Defibrillators, Implantable; D005260:Female; D006801:Humans; D017180:Tachycardia, Ventricular / Q000188:drug therapy; D013965:Thyroidectomy; D013971:Thyrotoxicosis / Q000139:chemically induced* / Q000601:surgery
D000638:Amiodarone