Cardiorespiratory ArrestAssociated with Propranolol use in Thyrotoxic Heart Disease by Lam AHY* in COJNursing & Healthcare
Beta-blockers are commonly used to treat tachyarrhythmia's in
thyroid storm. However, there have been several cases in which cardiovascularcollapse has been reported after administration of Propranolol. This
phenomenon seemed to be more common in Chinese. The article presented an
unusual case. A 14-year-old girl with thyrotoxicosis presented with wide
complex tachycardia in an electrocardiogram (ECG). The rhythm was converted to
a trial tachycardia after cardio version. Propranolol was started to control
atrial tachycardia. The girl developed cardiorespiratory arrest soon after
taking Propranolol. She required high-dose inotropic support and the use of an
intra-aortic balloon pump after resuscitation
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