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QJM Advance Access originally published online on January 13, 2009
QJM 2009 102(3):217-219; doi:10.1093/qjmed/hcn173
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© The Author 2009. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Reversible dilated cardiomyopathy associated with post-partum thyrotoxic storm

M.J. Daly1, C.M. Wilson2, S.J. Dolan3, A. Kennedy4 and D.R. McCance1

From the 1Regional Centre for Endocrinology and Diabetes, 2Regional Medical Cardiology Centre, 3Department of Endocrine Surgery, Royal Victoria Hospital, Belfast and 4Antrim Area Hospital, Northern Ireland, UK

Address Correspondence to Dr D.R. McCance, Regional Centre for Endocrinology and Diabetes, Royal Victoria Hospital, Grosvenor Road, Belfast, BT12 6BA, Northern Ireland, UK. email: david.mccance{at}belfasttrust.hscni.net


  Abstract

The following case of a young mother presenting with post-partum pulmonary oedema, highlights a singular and life-threatening complication of a common condition (thyrotoxicosis). While thyrotoxic heart disease is well described, thyrotoxic storm in the post-partum period associated with dilated cardiomyopathy, congestive cardiac failure and ventricular fibrillation is exceptional.


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