To PLEX or Not to PLEX for Amiodarone-Induced Thyrotoxicosis.

IF 0.6 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Case Reports in Cardiology Pub Date : 2023-11-20 eCollection Date: 2023-01-01 DOI:10.1155/2023/1563732

Tania Ahuja, Olivia Nuti, Cameron Kemal, Darren Kang, Eugene Yuriditsky, James M Horowitz, Raymond A Pashun

引用次数: 0

Abstract

Amiodarone-induced thyrotoxicosis (AIT) carries significant cardiovascular morbidity. There are two types of AIT with treatment including antithyroid medications and corticosteroids and treatment of ventricular arrhythmias. Therapeutic plasma exchange (TPE) also known as "PLEX" may help remove thyroid hormones and amiodarone. We report a case of PLEX in an attempt to treat cardiogenic shock secondary to AIT. This case highlights the robust rapidly deleterious demise of AIT, specifically in patients with decompensated heart failure. The decision to PLEX or not to PLEX for AIT should be individualized, prior to definitive therapy.

查看原文本刊更多论文

胺碘酮性甲状腺毒症是否应用PLEX。

胺碘酮性甲状腺毒症(AIT)具有显著的心血管发病率。有两种类型的AIT治疗包括抗甲状腺药物和皮质类固醇和室性心律失常的治疗。治疗性血浆置换(TPE)也被称为“PLEX”，可能有助于去除甲状腺激素和胺碘酮。我们报告一例试图治疗继发于AIT的心源性休克的PLEX病例。本病例强调了AIT的强大、迅速、有害的死亡，特别是失代偿性心力衰竭患者。在确定治疗之前，对AIT进行PLEX或不进行PLEX的决定应个体化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Case Reports in Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-

自引率

0.00%

发文量

审稿时长

13 weeks

期刊介绍： Case Reports in Cardiology is a peer-reviewed, Open Access journal that publishes case reports and case series related to hypertension, arrhythmia, congestive heart failure, valvular heart disease, vascular disease, congenital heart disease and cardiomyopathy.