Navigating the Storm: Myxedema Coma-Induced Cardiomyopathy Culminating in Refractory Cardiogenic Shock.
Publication/Presentation Date
6-1-2024
Abstract
Myxedema coma is a rare and life-threatening consequence of severe hypothyroidism, often precipitated by physiologic stressors. While cardiac manifestations are common, they are typically reversible with prompt treatment. Here, we report a case of a 23-year-old male with untreated hypothyroidism who presented with myxedema coma-induced cardiomyopathy leading to refractory cardiogenic shock requiring veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and, ultimately, orthotopic heart transplantation (OHT). Our case highlights a rare occurrence of refractory shock necessitating mechanical support as a bridge to a cardiac transplant. We emphasize early recognition, aggressive management, and a low threshold to escalate care to mitigate the high mortality associated with myxedema coma.
Volume
16
Issue
6
First Page
61615
Last Page
61615
ISSN
2168-8184
Published In/Presented At
Guntaka, S., Lin, A., Bae, S., Vaysblat, M., & Pierce, M. (2024). Navigating the Storm: Myxedema Coma-Induced Cardiomyopathy Culminating in Refractory Cardiogenic Shock. Cureus, 16(6), e61615. https://doi.org/10.7759/cureus.61615
Disciplines
Medicine and Health Sciences
PubMedID
38966432
Department(s)
Fellows and Residents
Document Type
Article