Abstract

COJ Nursing & Healthcare

Cardiorespiratory Arrest Associated with Propranolol use in Thyrotoxic Heart Disease

  • Open or Close Lam AHY*

    School of Nursing, The University of Hong Kong, Hong Kong

    *Corresponding author: Lam AHY, School of Nursing, The University of Hong Kong, 4/F, William MW Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong

Submission: September 11, 2017; Published: December 13, 2017

DOI: 10.31031/COJNH.2017.01.000509

ISSN: 2577-2007
Volume1 Issue2

Abstract

Beta-blockers are commonly used to treat tachyarrhythmia’s in thyroid storm. However, there have been several cases in which cardiovascular collapse has been reported after administration of Propranolol [1]. This phenomenon seemed to be more common in Chinese [1]. The article presented an unusual case. A 14-year-old girl with thyrotoxicosis presented with wide complex tachycardia in an electrocardiogram (ECG). The rhythm was converted to a trial tachycardia after cardio version. Propranolol was started to control atrial tachycardia. The girl developed cardiorespiratory arrest soon after taking Propranolol. She required high-dose inotropic support and the use of an intra-aortic balloon pump after resuscitation.

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