24 August 2023: Articles
Thyroid Storm-Induced Refractory Multiorgan Failure Managed by Veno-Arterial Extracorporeal Membrane Oxygenation Support: A Case-Series
Unusual clinical course, Management of emergency care
Mugahid Eltahir A , Hamza Chaudhry A , Ezzeddin Abdulsalam Ibrahim A , Marwa Mokhtar B , Hani Jaouni A , Ibrahim Fawzy Hassan D , Ayman El-Menyar A* , Ahmed Labib Shehatta ADOI: 10.12659/AJCR.940672
Am J Case Rep 2023; 24:e940672
Table 1. Patient demographics and initial presentation of the 4 cases.
| Patient 1 | Patient 2 | Patient 3 | Patient 4 | |
|---|---|---|---|---|
| Age (years) | 39 | 45 | 49 | 43 |
| Sex | Female | Female | Female | Male |
| Known thyroid illness | No | No | No | Known Graves disease |
| Heart rate at presentation | 200 beats/min | 198 beats/min | 200 beats/min | 165 beats/min |
| Initial rhythm | Atrial fibrillation | Atrial flutter | Supraventricular tachycardia | Supraventricular tachycardia/atrial fibrillation |
| Heart failure | Yes | Yes | Yes | Yes |
| Beta blocker received before deterioration | Metoprolol 5 mg i.v. | Propranolol 2 mg i.v. | Propranolol 3 mg i.v. | Metoprolol 5 mg i.v. |
| Cardiac arrest | Pulseless electrical activity | Pulseless electrical activity | No | Pulseless electrical activity |
| Type of ECMO support | VA-ECMO | VA-ECMO | VA-ECMO | VA-ECMO |