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Switching Therapy from Intravenous Landiolol to Transdermal Bisoprolol in a Patient with Thyroid Storm Complicated by Decompensated Heart Failure and Gastrointestinal Dysfunction
Thyroid storm is a life-threatening disorder that remains a therapeutic challenge. Although β-blockers are the mainstay for treatment, their use can be challenging in cases complicated by rapid atrial fibrillation and decompensated heart failure. We present a case of thyroid storm-associated atrial...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Society of Internal Medicine
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5658526/ https://www.ncbi.nlm.nih.gov/pubmed/28883252 http://dx.doi.org/10.2169/internalmedicine.8846-17 |
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author | Godo, Shigeo Kawazoe, Yu Ozaki, Hiroshi Fujita, Motoo Kudo, Daisuke Nomura, Ryosuke Shimokawa, Hiroaki Kushimoto, Shigeki |
author_facet | Godo, Shigeo Kawazoe, Yu Ozaki, Hiroshi Fujita, Motoo Kudo, Daisuke Nomura, Ryosuke Shimokawa, Hiroaki Kushimoto, Shigeki |
author_sort | Godo, Shigeo |
collection | PubMed |
description | Thyroid storm is a life-threatening disorder that remains a therapeutic challenge. Although β-blockers are the mainstay for treatment, their use can be challenging in cases complicated by rapid atrial fibrillation and decompensated heart failure. We present a case of thyroid storm-associated atrial fibrillation and decompensated heart failure complicated by gastrointestinal dysfunction secondary to diffuse peritonitis that was successfully managed by a switching therapy, in which the continuous intravenous administration of landiolol was changed to bisoprolol via transdermal patch, in the acute phase treatment. This switching therapy may offer a promising therapeutic option for this potentially lethal disorder. |
format | Online Article Text |
id | pubmed-5658526 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | The Japanese Society of Internal Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-56585262017-10-27 Switching Therapy from Intravenous Landiolol to Transdermal Bisoprolol in a Patient with Thyroid Storm Complicated by Decompensated Heart Failure and Gastrointestinal Dysfunction Godo, Shigeo Kawazoe, Yu Ozaki, Hiroshi Fujita, Motoo Kudo, Daisuke Nomura, Ryosuke Shimokawa, Hiroaki Kushimoto, Shigeki Intern Med Case Report Thyroid storm is a life-threatening disorder that remains a therapeutic challenge. Although β-blockers are the mainstay for treatment, their use can be challenging in cases complicated by rapid atrial fibrillation and decompensated heart failure. We present a case of thyroid storm-associated atrial fibrillation and decompensated heart failure complicated by gastrointestinal dysfunction secondary to diffuse peritonitis that was successfully managed by a switching therapy, in which the continuous intravenous administration of landiolol was changed to bisoprolol via transdermal patch, in the acute phase treatment. This switching therapy may offer a promising therapeutic option for this potentially lethal disorder. The Japanese Society of Internal Medicine 2017-09-06 2017-10-01 /pmc/articles/PMC5658526/ /pubmed/28883252 http://dx.doi.org/10.2169/internalmedicine.8846-17 Text en Copyright © 2017 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Godo, Shigeo Kawazoe, Yu Ozaki, Hiroshi Fujita, Motoo Kudo, Daisuke Nomura, Ryosuke Shimokawa, Hiroaki Kushimoto, Shigeki Switching Therapy from Intravenous Landiolol to Transdermal Bisoprolol in a Patient with Thyroid Storm Complicated by Decompensated Heart Failure and Gastrointestinal Dysfunction |
title | Switching Therapy from Intravenous Landiolol to Transdermal Bisoprolol in a Patient with Thyroid Storm Complicated by Decompensated Heart Failure and Gastrointestinal Dysfunction |
title_full | Switching Therapy from Intravenous Landiolol to Transdermal Bisoprolol in a Patient with Thyroid Storm Complicated by Decompensated Heart Failure and Gastrointestinal Dysfunction |
title_fullStr | Switching Therapy from Intravenous Landiolol to Transdermal Bisoprolol in a Patient with Thyroid Storm Complicated by Decompensated Heart Failure and Gastrointestinal Dysfunction |
title_full_unstemmed | Switching Therapy from Intravenous Landiolol to Transdermal Bisoprolol in a Patient with Thyroid Storm Complicated by Decompensated Heart Failure and Gastrointestinal Dysfunction |
title_short | Switching Therapy from Intravenous Landiolol to Transdermal Bisoprolol in a Patient with Thyroid Storm Complicated by Decompensated Heart Failure and Gastrointestinal Dysfunction |
title_sort | switching therapy from intravenous landiolol to transdermal bisoprolol in a patient with thyroid storm complicated by decompensated heart failure and gastrointestinal dysfunction |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5658526/ https://www.ncbi.nlm.nih.gov/pubmed/28883252 http://dx.doi.org/10.2169/internalmedicine.8846-17 |
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