- 著者
-
Shigeo Godo
Yu Kawazoe
Hiroshi Ozaki
Motoo Fujita
Daisuke Kudo
Ryosuke Nomura
Hiroaki Shimokawa
Shigeki Kushimoto
- 出版者
- 一般社団法人 日本内科学会
- 雑誌
- Internal Medicine (ISSN:09182918)
- 巻号頁・発行日
- vol.56, no.19, pp.2603-2609, 2017-10-01 (Released:2017-10-01)
- 参考文献数
- 23
- 被引用文献数
-
5
Thyroid storm is a life-threatening disorder that remains a therapeutic challenge. Although β-blockers are the mainstay for treatment, their use can be challenging in cases complicated by rapid atrial fibrillation and decompensated heart failure. We present a case of thyroid storm-associated atrial fibrillation and decompensated heart failure complicated by gastrointestinal dysfunction secondary to diffuse peritonitis that was successfully managed by a switching therapy, in which the continuous intravenous administration of landiolol was changed to bisoprolol via transdermal patch, in the acute phase treatment. This switching therapy may offer a promising therapeutic option for this potentially lethal disorder.