Heart failure as a serious complication of iodinated contrast-induced hyperthyroidism: case-report
Abstract Background exposure to iodinated contrast media (ICM) can cause hyperthyroidism, due to disruption of thyroid hormone regulation. Although rare, it can have severe consequences and can lead to fatal complications. Current guidelines do not recommend standard laboratory testing of the thyroi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-10-01
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| Series: | BMC Endocrine Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12902-021-00870-y |
| _version_ | 1818979242656923648 |
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| author | Sofie M. Diepenbroek A. de Jonghe C. van Rees E. Seebus |
| author_facet | Sofie M. Diepenbroek A. de Jonghe C. van Rees E. Seebus |
| author_sort | Sofie M. Diepenbroek |
| collection | DOAJ |
| description | Abstract Background exposure to iodinated contrast media (ICM) can cause hyperthyroidism, due to disruption of thyroid hormone regulation. Although rare, it can have severe consequences and can lead to fatal complications. Current guidelines do not recommend standard laboratory testing of the thyroid function prior to ICM exposure. Prophylactic treatment of patients at higher risk of hyperthyroidism is not advised. Case presentation we report the case of an 82-year-old woman who developed ICM induced hyperthyroidism after undergoing a chest computed tomography (CT). One month after ICM administration she presented with pneumonia at the emergency department. Hyperthyroidism was found with concomitant tachycardia, which was hard to control. As a result of hyperthyroidism and coincidental pneumonia the patient developed heart failure and died of myocardial ischemia. Conclusions this case report underlines the importance of close monitoring of high-risk patients after ICM exposure. Clinicians should be aware of the risk of hyperthyroidism and potential severe complications. The use of ICM needs careful consideration, especially in the elderly who suffer more often from multinodular goitre. |
| first_indexed | 2024-12-20T16:56:25Z |
| format | Article |
| id | doaj.art-8e53bc1ed8f9493dbcfa0f2a0755c0be |
| institution | Directory Open Access Journal |
| issn | 1472-6823 |
| language | English |
| last_indexed | 2024-12-20T16:56:25Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Endocrine Disorders |
| spelling | doaj.art-8e53bc1ed8f9493dbcfa0f2a0755c0be2022-12-21T19:32:44ZengBMCBMC Endocrine Disorders1472-68232021-10-012111510.1186/s12902-021-00870-yHeart failure as a serious complication of iodinated contrast-induced hyperthyroidism: case-reportSofie M. Diepenbroek0A. de Jonghe1C. van Rees2E. Seebus3Department of Geriatrics, Tergooi Medical CentreDepartment of Geriatrics, Tergooi Medical CentreDepartment of Geriatrics, Tergooi Medical CentreDepartment of Internal Medicine, Tergooi Medical CentreAbstract Background exposure to iodinated contrast media (ICM) can cause hyperthyroidism, due to disruption of thyroid hormone regulation. Although rare, it can have severe consequences and can lead to fatal complications. Current guidelines do not recommend standard laboratory testing of the thyroid function prior to ICM exposure. Prophylactic treatment of patients at higher risk of hyperthyroidism is not advised. Case presentation we report the case of an 82-year-old woman who developed ICM induced hyperthyroidism after undergoing a chest computed tomography (CT). One month after ICM administration she presented with pneumonia at the emergency department. Hyperthyroidism was found with concomitant tachycardia, which was hard to control. As a result of hyperthyroidism and coincidental pneumonia the patient developed heart failure and died of myocardial ischemia. Conclusions this case report underlines the importance of close monitoring of high-risk patients after ICM exposure. Clinicians should be aware of the risk of hyperthyroidism and potential severe complications. The use of ICM needs careful consideration, especially in the elderly who suffer more often from multinodular goitre.https://doi.org/10.1186/s12902-021-00870-yIodine-inducedICMIodinated contrast mediaHyperthyroidismTachycardia |
| spellingShingle | Sofie M. Diepenbroek A. de Jonghe C. van Rees E. Seebus Heart failure as a serious complication of iodinated contrast-induced hyperthyroidism: case-report BMC Endocrine Disorders Iodine-induced ICM Iodinated contrast media Hyperthyroidism Tachycardia |
| title | Heart failure as a serious complication of iodinated contrast-induced hyperthyroidism: case-report |
| title_full | Heart failure as a serious complication of iodinated contrast-induced hyperthyroidism: case-report |
| title_fullStr | Heart failure as a serious complication of iodinated contrast-induced hyperthyroidism: case-report |
| title_full_unstemmed | Heart failure as a serious complication of iodinated contrast-induced hyperthyroidism: case-report |
| title_short | Heart failure as a serious complication of iodinated contrast-induced hyperthyroidism: case-report |
| title_sort | heart failure as a serious complication of iodinated contrast induced hyperthyroidism case report |
| topic | Iodine-induced ICM Iodinated contrast media Hyperthyroidism Tachycardia |
| url | https://doi.org/10.1186/s12902-021-00870-y |
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