Thyroid Storm
ICD-10 E05.5 · ICD-11 5A02.5

Treatment of Thyroid Storm in Acute Congestive Heart Failure (Killip Class III or IV)

Thyroid storm occurring in the context of acute congestive heart failure at Killip class III or IV is a high-acuity clinical combination. This page describes the relevant scenario and links to the complete structured regimen.

Clinical Scenario

The patient presents with thyroid storm alongside acute congestive heart failure classified as Killip class III or IV. At this severity class, haemodynamic monitoring — including use of a Swan-Ganz catheter — is a recommended component of assessment.

Treatment Approach — Partial Overview

When haemodynamic status does not improve sufficiently, mechanical circulatory support is a key intervention addressed in this protocol — to be applied before irreversible multiple organ failure develops.

The complete regimen, including full decision criteria and the sequence of interventions, is available via the link below.

Instant Access to Structured Evidence-Based Regimens

References

  1. Hemodynamic monitoring using a Swan-Ganz catheter is recommended for patients with acute congestive heart failure classified as Killip class ≥III.
  2. An artificial heart–lung machine should be used before the development of irreversible multiple organ failure when hemodynamic status has not improved with the maximum dose of adrenergic agonists.
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