{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T12:19:26Z","timestamp":1769084366816,"version":"3.49.0"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"vor","delay-in-days":945,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2023,4,12]],"date-time":"2023-04-12T00:00:00Z","timestamp":1681257600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Wet beriberi is a rare but fatal disease in modern society. The nonspecific clinical manifestations, including symptoms of heart failure and recalcitrant lactic acidosis, can prevent timely diagnosis. The use of a pulmonary artery catheter can promptly confirm a high cardiac output state and plays a crucial role in rapidly deteriorating cases. Appropriate treatment with intravenous administration of thiamine leads to dramatic recovery within hours. We present two cases of Shoshin beriberi, a fulminant variant of wet beriberi, diagnosed in 2016 and 2022 at our institute. The patients experienced haemodynamic collapse and refractory lactic acidosis, which were successfully diagnosed with the use of a pulmonary artery catheter and reversed by thiamine supplementation. We also reviewed 19 cases of wet beriberi reported between 2010 and 2022.<\/jats:p>","DOI":"10.1002\/ehf2.14374","type":"journal-article","created":{"date-parts":[[2023,4,13]],"date-time":"2023-04-13T02:18:40Z","timestamp":1681352320000},"page":"2686-2693","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Pulmonary Artery Catheter Usage in Diagnosis of Shoshin Beriberi Presented with Unexplained Lactic Acidosis"],"prefix":"10.1093","volume":"10","author":[{"given":"Yi-Hsin","family":"Hung","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, National Taiwan University Hospital , Taipei ,","place":["Taiwan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"An-Li","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Cardiology, National Taiwan University Hospital , Taipei ,","place":["Taiwan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2521-3905","authenticated-orcid":false,"given":"Chun-Kai","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Cardiology, National Taiwan University Hospital Hsin-Chu Branch , Hsinchu ,","place":["Taiwan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min-Tsun","family":"Liao","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Cardiology, National Taiwan University Hospital Hsin-Chu Branch , Hsinchu ,","place":["Taiwan"]},{"name":"Department of Medicine, College of Medicine, National Taiwan University , Taipei ,","place":["Taiwan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mu-Yang","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Cardiology, National Taiwan University Hospital Hsin-Chu Branch , Hsinchu ,","place":["Taiwan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen-Jone","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Min-Sheng General Hospital , Taoyuan ,","place":["Taiwan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,4,12]]},"reference":[{"key":"2026012114092963600_ehf214374-bib-0001","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1093\/qjmed\/hcn147","article-title":"High output heart failure","volume":"102","author":"Mehta","year":"2009","journal-title":"QJM"},{"key":"2026012114092963600_ehf214374-bib-0002","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1111\/nyas.13919","article-title":"Thiamine deficiency disorders: diagnosis, prevalence, and a roadmap for global control programs","volume":"1430","author":"Whitfield","year":"2018","journal-title":"Ann N Y Acad Sci"},{"key":"2026012114092963600_ehf214374-bib-0003","doi-asserted-by":"crossref","first-page":"2713","DOI":"10.1001\/jama.290.20.2713","article-title":"French pulmonary artery catheter study group. Early use of the pulmonary artery catheter and outcomes in patients with shock and acute respiratory distress syndrome: a randomized controlled trial","volume":"290","author":"Richard","year":"2003","journal-title":"JAMA"},{"key":"2026012114092963600_ehf214374-bib-0004","doi-asserted-by":"crossref","first-page":"1625","DOI":"10.1001\/jama.294.13.1625","article-title":"Evaluation study of congestive heart failure and pulmonary artery catheterization effectiveness: the ESCAPE trial","volume":"294","author":"Binanay","year":"2005","journal-title":"JAMA"},{"key":"2026012114092963600_ehf214374-bib-0005","first-page":"1","article-title":"Resurgence of Shoshin beriberi during the COVID-19 pandemic","volume":"5","author":"Govind","year":"2022","journal-title":"Cardiovasc J Afr"},{"key":"2026012114092963600_ehf214374-bib-0006","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1016\/j.amjms.2022.12.006","article-title":"Raise vigilance against refractory distributive shock due to severe wet beriberi","volume":"365","author":"Ma","year":"2022","journal-title":"Am J Med Sci"},{"key":"2026012114092963600_ehf214374-bib-0007","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2021-241654","article-title":"Wide pulse pressure and Quincke's pulse in high-output heart failure","volume":"14","author":"Berry","year":"2021","journal-title":"BMJ Case Rep"},{"key":"2026012114092963600_ehf214374-bib-0008","first-page":"100","article-title":"Serial cardiac magnetic resonance imaging in wet beriberi","volume":"22","author":"Murakami","year":"2020","journal-title":"J Cardiol Cases"},{"key":"2026012114092963600_ehf214374-bib-0009","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1016\/j.mayocpiqo.2019.03.003","article-title":"Thiamine and heart failure: challenging cases of modern-day cardiac beriberi","volume":"3","author":"Helali","year":"2019","journal-title":"Mayo Clin Proc Innov Qual 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adolescent","volume":"222","author":"Cottini","year":"2016","journal-title":"Int J Cardiol"},{"key":"2026012114092963600_ehf214374-bib-0013","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1186\/s12937-016-0156-y","article-title":"Case report: pericardial effusion with constrictive physiology in a patient with wet beriberi","volume":"15","author":"Yamamura","year":"2016","journal-title":"Nutr J"},{"key":"2026012114092963600_ehf214374-bib-0014","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1186\/s12937-015-0039-7","article-title":"Shoshin beriberi in critically-ill patients: case series","volume":"14","author":"Dabar","year":"2015","journal-title":"Nutr J"},{"key":"2026012114092963600_ehf214374-bib-0015","article-title":"Shoshin beriberi induced by long-term administration of diuretics: a case report","volume":"2014","author":"Misumida","year":"2014","journal-title":"Case Rep 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