title: Refractory cardiogenic shock in an infant with congenital hypothyroidism.
abstract: Thyroid dysfunction causes remarkable cardiovascular derangements. Both systolic and diastolic dysfunction of the heart can occur in hypothyroidism leading to cardiac arrhythmia and congestive heart failure. Refractory cardiogenic shock and hypotension in congenital hypothyroidism is rare. We describe a 5-month-old female infant with congenital hypothyroidism and refractory cardiogenic shock. Cardiac function and hemodynamic stability were restored after starting levothyroxine therapy.
authors.affiliation: Department of Pediatrics, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai-400 022, India.
authors.forename: Syed Ahmed
authors.initials: SA
authors.lastname: Zaki
authors.forename: Amit
authors.initials: A
authors.lastname: Dolas