• Singap Med J · Feb 2005

    Case Reports

    Thyrotoxic periodic paralysis complicated by near-fatal ventricular arrhythmias.

    • K C Loh, L Pinheiro, and K S Ng.
    • Loh Keh Chuan Diabetes Thyroid and Hormone Clinic, Mount Elizabeth Medical Centre, Singapore 228510. lohkc@endocrinology.com.sg
    • Singap Med J. 2005 Feb 1; 46 (2): 88-9.

    AbstractA 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.

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