NYMC Faculty Publications

Risk Factors for Cardiogenic Shock in Thyroid Storm: A Retrospective and Case-Series Study

Author Type(s)

Faculty

DOI

10.2217/fca-2023-0043

Journal Title

Future Cardiology

First Page

605

Last Page

613

Document Type

Article

Publication Date

9-1-2023

Department

Medicine

Abstract

Thyroid storm (TS) occurs in 10% of thyrotoxicosis patients and 1% of TS patients experience cardiogenic shock (CS), which is associated with poor prognosis. This is a single institution, retrospective study in which 56 patients with TS were evaluated. BMI (p = 0.002), history of heart failure (OR 8.33 [1.91, 36.28]; p = 0.004), pro-BNP elevation (p = 0.04), chest x-ray showing interstitial edema (OR 3.33 [1.48, 7.52]; p = 0.01) and Burch-Wartofsky score (62.5 vs 40; p = 0.004) showed association with CS. CS patients had increased length of stay (16.5 vs 4 days; p = 0.01) and higher in-hospital mortality (OR 24.5 [2.90, 207.29]; p < 0.001). These risk factors are useful to risk stratify TS patients on admission, institute therapy in a timely manner and decrease mortality.

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