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      Cardiogenic shock in thyroid storm: A biventricular impella (Bi‐Pella) approach

      case-report

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          Abstract

          The use of biventricular impella support in patients with acute, reversible causes of biventricular cardiogenic shock may play a role in shortening the time to recovery and preventing significant negative outcomes such as renal or hepatic failure.

          Abstract

          The use of biventricular impella support in patients with acute, reversible causes of biventricular cardiogenic shock may play a role in shortening the time to recovery and preventing significant negative outcomes such as renal or hepatic failure.

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          Most cited references10

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          Benefits of a novel percutaneous ventricular assist device for right heart failure: The prospective RECOVER RIGHT study of the Impella RP device.

          Right ventricular failure (RVF) increases morbidity and mortality. The RECOVER RIGHT study evaluated the safety and efficacy of a novel percutaneous right ventricular assist device, the Impella RP (Abiomed, Danvers, MA), in a prospective, multicenter trial.
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            Thyrotoxicosis and thyroid storm.

            Thyroid storm represents the extreme manifestation of thyrotoxicosis as a true endocrine emergency. Although Grave's disease is the most common underlying disorder in thyroid storm, there is usually a precipitating event or condition that transform the patient into life-threatening thyrotoxicosis. Treatment of thyroid storm involves decreasing new hormone synthesis, inhibiting the release of thyroid hormone, and blocking the peripheral effects of thyroid hormone. This multidrug, therapeutic approach uses thionamides, iodine, beta-adrenergic receptor antagonists, corticosteroids in certain circumstances, and supportive therapy. Certain conditions may warrant the use of alternative therapy with cholestyramine, lithium carbonate, or potassium perchlorate. After the critical illness of thyroid storm subsides, definitive treatment of the underlying thyrotoxicosis can be planned.
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              National trends in the utilization of short-term mechanical circulatory support: incidence, outcomes, and cost analysis.

              The number of alternatives to intra-aortic balloon counterpulsation in the treatment of anticipated and established acute circulatory failure is growing. Despite the clinical importance and significant cost of short-term mechanical circulatory support (MCS) devices, the state of their present use has not been analyzed on a national scale.
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                Author and article information

                Contributors
                Caruso-evan@cooperhealth.edu
                Journal
                Clin Case Rep
                Clin Case Rep
                10.1002/(ISSN)2050-0904
                CCR3
                Clinical Case Reports
                John Wiley and Sons Inc. (Hoboken )
                2050-0904
                16 February 2021
                March 2021
                : 9
                : 3 ( doiID: 10.1002/ccr3.v9.3 )
                : 1104-1109
                Affiliations
                [ 1 ] Department of Cardiology Cooper University Hospital Camden NJ USA
                Author notes
                [*] [* ] Correspondence

                Evan Caruso, Department of Cardiology, Cooper University Hospital 1 Cooper Plaza, Camden NJ 08103

                Email: Caruso-evan@ 123456cooperhealth.edu

                Author information
                https://orcid.org/0000-0001-5125-4148
                Article
                CCR33657
                10.1002/ccr3.3657
                7981643
                5614253e-a121-4a71-983d-f7da11c852ec
                © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 09 October 2020
                : 20 July 2020
                : 21 October 2020
                Page count
                Figures: 4, Tables: 2, Pages: 6, Words: 3039
                Categories
                Case Report
                Case Reports
                Custom metadata
                2.0
                March 2021
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.0.0 mode:remove_FC converted:21.03.2021

                biventricular failure,hemodynamics of right ventricular failure,mechanical circulatory support,thyrotoxic cardiomyopathy

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