Thyroid Storm-Induced Refractory Multiorgan Failure Managed by Veno-Arterial Extracorporeal Membrane Oxygenation Support: A Case-Series

Mugahid Eltahir; Hamza Chaudhry; Ezzeddin Abdulsalam Ibrahim; Marwa Mokhtar; Hani Jaouni; Ibrahim Fawzy Hassan; Ayman El-Menyar; Ahmed Labib Shehatta

doi:10.12659/AJCR.940672

24 August 2023 : Case report Qatar

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^1ABDEF, Hamza Chaudhry^2ABDE, Ezzeddin Abdulsalam Ibrahim^1ABD, Marwa Mokhtar^3BD, Hani Jaouni^12ABCE, Ibrahim Fawzy Hassan^12DE, Ayman El-Menyar

^24ADE*, Ahmed Labib Shehatta

^12ADEF

DOI: 10.12659/AJCR.940672

Am J Case Rep 2023; 24:e940672

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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

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Thyroid Storm-Induced Refractory Multiorgan Failure Managed by Veno-Arterial Extracorporeal Membrane Oxygenation Support: A Case-Series

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