CASE REPORT article
Front. Cardiovasc. Med.
Sec. Intensive Care Cardiovascular Medicine
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1642892
This article is part of the Research TopicCase Reports in Intensive Care Cardiovascular Medicine: 2025View all 6 articles
ECMO Rescue for Cardiac Arrest in a Hyperthyroid Patient Triggered by COVID-19 Infection
Provisionally accepted
- Lishui Central Hospital, Lishui, China
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Background: Coronavirus disease 2019 (COVID-19) is a global pandemic, while both fulminant myocarditis (FM) and thyroid storm (TS) are life-threatening critical conditions. When these three conditions coexist in a single patient, the survival outcome can be severely compromised. Case introduction: We report a case of cardiac arrest in a hyperthyroid patient triggered by COVID-19 infection. The patient developed symptoms such as fatigue, chest tightness, and chest pain following SARS-CoV-2 infection, and experienced respiratory and CA en route to the hospital. Ultimately, the patient was diagnosed with FM and TS. The patient was treated with veno-arterial extracorporeal membrane oxygenation (VA-ECMO) combined with continuous renal replacement therapy (CRRT). After hemodynamic stabilization, the patient received pharmacological management for arrhythmia control and hyperthyroidism, along with other symptomatic treatments. The patient eventually recovered and was discharged. Conclusion: In hyperthyroid patients infected with SARS-CoV-2, clinicians should remain vigilant for the potential development of FM and TS. VA-ECMO combined with CRRT represents an effective therapeutic approach in such critical scenarios.
Keywords: Fulminant myocarditis, Thyroid storm, SARS-CoV-2, VA-ECMO, CRRT
Received: 07 Jun 2025; Accepted: 08 Sep 2025.
Copyright: © 2025 Ma, Xie, Lan, Wu, Liu and Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Lutao Xie, Lishui Central Hospital, Lishui, China
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