title: Out of the blue! Thyroid crisis.
abstract: A 45-year-old male patient with an irregularly irregular rhythm and fast ventricular rate was posted for an emergency laparotomy for hollow viscus perforation. His history was not suggestive of any systemic disorders. An echocardiography revealed left ventricular dysfunction with an ejection fraction of 47% without any valvular or chamber abnormality. Thyromegaly noticed during placement of central venous catheter was suspected to be the etiology for his cardiovascular status and was successfully managed. Thyroid crisis in an undiagnosed case of hyperthyroidism poses a diagnostic and therapeutic challenge. Timely and aggressive management is essential to correct the homeostatic decompensation characteristic of thyroid storm.
authors.affiliation: Department of Anaesthesiology, NRI Medical College, Guntur, Andhra Pradesh, India.
authors.forename: Mrunalini
authors.initials: M
authors.lastname: Parasa
authors.affiliation: Department of Anaesthesiology, NRI Medical College, Guntur, Andhra Pradesh, India.
authors.forename: Bala Kusuma Kumari
authors.initials: BK
authors.lastname: Chinthakunta
authors.affiliation: Department of Anaesthesiology, NRI Medical College, Guntur, Andhra Pradesh, India.
authors.forename: Nagendra Nath
authors.initials: NN
authors.lastname: Vemuri
authors.affiliation: Department of Anaesthesiology, NRI Medical College, Guntur, Andhra Pradesh, India.
authors.forename: Mastan Saheb
authors.initials: MS
authors.lastname: Shaik
keywords: Atrial fibrillation; hollow viscus perforation; hyperthyroidism; left ventricular dysfunction; thyroid crisis