title: [Cardiac arrest and cardial insuffiency as result of thyrotoxicosis].
abstract: A 52-year-old woman, who had an out-of-hospital cardiac arrest, was resuscitated, intubated and transferred with cardiogenic shock to angioplasty of the right coronary artery. Afterwards the patient had normal biventricular function, but four days later she developed atrial fibrillation and recurrent cardiogenic shock with a left ventricular ejection fraction of 20%. Thyrotoxic crisis was determined as the underlying cause; and antithyroid treatment stabilised the patient's haemodynamics completely within 24 hours. The importance of high thyroxine levels in patients with ischaemic heart disease is discussed.
authors.affiliation: Anæstesiologisk Afdeling, Regionshospitalet Herning, Gl. Landevej 61, 7400 Herning, Denmark. janelundjensen@dadlnet.dk
authors.forename: Jane
authors.initials: J
authors.lastname: Hjørringgaard
authors.forename: Thomas
authors.initials: T
authors.lastname: Birkelund
authors.forename: Hanne Berg
authors.initials: HB
authors.lastname: Ravn
mesh_terms: D013956:Antithyroid Agents / Q000627:therapeutic use; D002319:Cardiovascular System / Q000503:physiopathology; D005260:Female; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D058687:Out-of-Hospital Cardiac Arrest / Q000209:etiology*; D011193:Potassium Iodide / Q000627:therapeutic use; D011441:Propylthiouracil / Q000627:therapeutic use; D011877:Radionuclide Imaging; D013958:Thyroid Crisis / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D013963:Thyroid Hormones / Q000502:physiology
chemical_list: D013956:Antithyroid Agents; D013963:Thyroid Hormones; D011193:Potassium Iodide; D011441:Propylthiouracil