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Acute myocardial infarction and thyrotoxic storm – a difficult and dangerous combination
Author(s) -
Opdahl H.,
Eritsland J.,
Søvik E.
Publication year - 2005
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.2005.00676.x
Subject(s) - medicine , cardiogenic shock , myocardial infarction , hyperdynamic circulation , cardiology , shock (circulatory) , heart failure , circulatory collapse , circulatory system , hemodynamics , intensive care medicine , vascular resistance
We describe an unusual case of acute myocardial infarction (AMI) and cardiogenic shock in a 25‐year‐old woman. After coronary revascularization, a thyrotoxic storm developed and the patient's cardiac failure changed into a hyperdynamic circulation without obvious changes in the patient's vital signs. This report will focus on three issues: (1) the benefit of advanced hemodynamic monitoring in circulatory unstable patients, (2) the confounding effects of untreated hyperthyroidism on the circulation, and (3) previous cancer treatment as a cause of AMI in young persons.