title: Thyroid storm presenting as congestive heart failure and protein-S deficiency-induced biventricular and internal jugular venous thrombii.
abstract: The thyroid storm is a medical emergency characterized by decompensation of one or more organ systems. Associated cardiac involvement carries poor prognosis. Early recognition and appropriate management of life-threatening thyrotoxicosis is vital to prevent the high morbidity and mortality that may accompany this disorder. We report a young lady presenting with thyroid storm presenting as acute heart failure with biventricular and bilateral internal jugular venous thrombi. In addition, she also had thyrotoxicosis-induced transient protein-S deficiency which recovered following remission.
authors.affiliation: Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
authors.forename: S
authors.initials: S
authors.lastname: Kumar
authors.forename: N
authors.initials: N
authors.lastname: Moorthy
authors.forename: S
authors.initials: S
authors.lastname: Yadav
authors.forename: A
authors.initials: A
authors.lastname: Kapoor
authors.forename: D C
authors.initials: DC
authors.lastname: Dale
mesh_terms: D055011:Ablation Techniques; D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D000959:Antihypertensive Agents / Q000627:therapeutic use; D013956:Antithyroid Agents / Q000627:therapeutic use; D002227:Carbazoles / Q000627:therapeutic use; D002231:Carbimazole / Q000627:therapeutic use; D000077261:Carvedilol; D004232:Diuretics / Q000627:therapeutic use; D004656:Enalapril / Q000627:therapeutic use; D005260:Female; D006333:Heart Failure / Q000209:etiology*; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging; D011412:Propanolamines / Q000627:therapeutic use; D018455:Protein S Deficiency / Q000209:etiology*; D013958:Thyroid Crisis / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*
chemical_list: D000925:Anticoagulants; D000959:Antihypertensive Agents; D013956:Antithyroid Agents; D002227:Carbazoles; D004232:Diuretics; D011412:Propanolamines; D000077261:Carvedilol; D004656:Enalapril; D002231:Carbimazole; D006493:Heparin