Notes on Trauma-Related Thyroid Storm in the Emergency Department

I thank Wang et  al. for their review regarding trauma-related thyroid storm (1). Pulmonary arterial hypertension has been reported in 44%–65% of patients with uncontrolled hyperthyroidism due to Grave's disease or toxic multinodular goiter (2,3). Dilated cardiomyopathy and Takotsubo cardiomyopathy can also comp licate hyperthyroidism (4). Echocardiography in the emergency department is essential to exclude these cardiovascular complications, which can be aggravated by β-blockers. This is particularly critical in late pregnancy, given the significant maternal mortality with delivery in the setting of pul monary hypertension.
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Letter to the Editor Source Type: research