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    Singapore Med J. 2005 Feb;46(2):88-9.

    Thyrotoxic periodic paralysis complicated by near-fatal ventricular arrhythmias.

    Loh KC, Pinheiro L, Ng KS.

    Source

    Loh Keh Chuan Diabetes Thyroid and Hormone Clinic, Mount Elizabeth Medical Centre, Singapore 228510. lohkc@endocrinology.com.sg

    Abstract

    A 35-year-old Chinese man presented with acute thyrotoxic periodic paralysis complicated by near-fatal cardiac arrhythmias due to persistent hypokalaemia, despite maximum potassium supplementation. He was eventually resuscitated with external cadioversion. In this unusual case of severe refractory hypokalaemia leading to ventricular fibrillation in a patient with underlying thyrotoxicosis, the potential dangers concerning the use of dextrose infusion and beta-adrenergic agent for resuscitation are highlighted.

    PMID:
    15678291
    [PubMed - indexed for MEDLINE]
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