{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T18:47:39Z","timestamp":1768070859642,"version":"3.49.0"},"reference-count":10,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2016,11,1]],"date-time":"2016-11-01T00:00:00Z","timestamp":1477958400000},"content-version":"vor","delay-in-days":31,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A 15\u2010year\u2010old girl with Graves\u2019 disease presented with hypotension after methimazole and propranolol were re\u2010started for hyperthyroidism. She was found to have pulmonary artery hypertension resulting in obstructive shock. Thyroid storm was diagnosed according to Burch and Wartofsky score. She was promptly treated with anti\u2010thyroid drugs, inorganic iodide, corticosteroid, and respiratory support. Pulmonary hypertension was treated with inhaled nitric oxide until the clinical status improved. Propranolol was withdrawn due to poor cardiac function. We herein present a unique case of a difficult\u2010to\u2010treat Graves\u2019 disease presenting with severe pulmonary hypertension resulting in low cardiac output thyroid storm.<\/jats:p>","DOI":"10.1111\/ped.13102","type":"journal-article","created":{"date-parts":[[2016,11,2]],"date-time":"2016-11-02T01:14:43Z","timestamp":1478049283000},"page":"1080-1083","source":"Crossref","is-referenced-by-count":10,"title":["Low cardiac output thyroid storm in a girl with Graves\u2019 disease"],"prefix":"10.1111","volume":"58","author":[{"given":"Marut","family":"Chantra","sequence":"first","affiliation":[{"name":"Division of Critical Care Medicine Department of Pediatrics Faculty of Medicine Ramathibodi Hospital Mahidol University Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alisa","family":"Limsuwan","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Pediatrics Faculty of Medicine Ramathibodi Hospital Mahidol University Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pat","family":"Mahachoklertwattana","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Metabolism Department of Pediatrics Faculty of Medicine Ramathibodi Hospital Mahidol University Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.4158\/EP.17.3.456"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2011.0334"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0885066613498053"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8529(18)30165-8"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2004.08.018"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2005.11.023"},{"issue":"8","key":"e_1_2_7_8_1","first-page":"e229","article-title":"Prevalence of echocardiographic criteria for the diagnosis of pulmonary hypertension in patients with Graves\u2019 disease: Before and after antithyroid treatment","volume":"34","author":"Suk JH","year":"2011","journal-title":"J. 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