Cardiogenic shock in hypothyroidism

Mahi Lakshmi Ashwath, Gurjaipal Kang, Mike Cunningham, Dale S. Adler

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


A patient with minimal coronary artery disease presented in cardiogenic shock when her previously undiagnosed hypothyroid state was complicated by an episode of AV nodal re-entrant tachycardia. She did not respond to multiple pressors, and recovered dramatically after starting thyroid supplementation. Hypothyroidism caused her lack of responsiveness to pressors and perpetuated her hypotension and increased filling pressures long after she reverted to a sinus rhythm. Our case dramatically demonstrates the severe lack of physiologic reserve that can be associated with hypothyroidism.

Original languageEnglish (US)
Pages (from-to)515-517
Number of pages3
JournalSouthern medical journal
Issue number5
StatePublished - May 2006
Externally publishedYes


  • AV nodal re-entrant tachycardia
  • Cardiogenic shock
  • Hypothyroidism

ASJC Scopus subject areas

  • General Medicine


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