title: Cardiogenic shock in hypothyroidism.
abstract: A patient with minimal coronary artery disease presented in cardiogenic shock when her previously undiagnosed hypothyroid state was complicated by an episode of AV nodal re-entrant tachycardia. She did not respond to multiple pressors, and recovered dramatically after starting thyroid supplementation. Hypothyroidism caused her lack of responsiveness to pressors and perpetuated her hypotension and increased filling pressures long after she reverted to a sinus rhythm. Our case dramatically demonstrates the severe lack of physiologic reserve that can be associated with hypothyroidism.
authors.affiliation: University Hospitals of Cleveland, Case Western Reserve University, Cleveland 44106, Ohio, USA. mahi.ashwath@case.edu
authors.forename: Mahi Lakshmi
authors.initials: ML
authors.lastname: Ashwath
authors.forename: Gurjaipal
authors.initials: G
authors.lastname: Kang
authors.forename: Mike
authors.initials: M
authors.lastname: Cunningham
authors.forename: Dale S
authors.initials: DS
authors.lastname: Adler
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D007037:Hypothyroidism / Q000150:complications*; D012770:Shock, Cardiogenic / Q000209:etiology*