An Unusual Presentation of ST Elevation Myocardial Infarction Complicated with Cardiogenic Shock Due to Myxedema Coma: A Case Report

10 March 2021 : Case report USA

Unusual clinical course, Challenging differential diagnosis, Management of emergency care

Nabil Braiteh^1ABCDEF*, Godson D. Senyondo^2ABCDEF, Mohammed Faraaz Rahman^3ABEF, Raheel Chaudhry^2ABEF, Hisham Kashou^1ACD

DOI: 10.12659/AJCR.929573

Am J Case Rep 2021; 22:e929573

Background Case Report Discussion Conclusions References:

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Table 1. Laboratory data.

Laboratory data	Value	Normal range
Sodium	118 mmol/L	(135–146) mmol/L
Potassium	3.2 mmol/L	(3.5–5.3) mmol/L
Chloride	85 mmol/L	(98–107) mmol/L
HCO3	23 mmol/L	(21–32) mmol/L
Glucose	568 mg/dL	(65–99) mg/dL
BUN	13 mg/dL	(7–23) mg/dL
Creatinine	1.4 mg/dL	(0.5–1.2) mg/dL
AST	329 IU/L	(5–40) IU/L
ALT	160 IU/L	(7–56) IU/L
WBC	11.7×10/L	(4.0–10.5) K/UL
Hemoglobin	13 g/dL	(13.0–18.0) G/dL
TSH	60.6 mIU/L	(0.465–4.680) mIU/ML
Free T4	0.3 ng/dL	(0.8–2.2) ng/dL
Cortisol	2.0 mcg/dl	(1.7–14.1) mcg/dl
Troponin I	0.17 ng/ml (peaking at 21.8 ng/ml after 6 hours	<0.01 ng/ml

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