Tormenta tiroidea: abordaje diagnóstico y terapéutico

La tormenta tiroidea (TT) es una patología infrecuente, pero potencialmente mortal si no se detecta y trata oportunamente. Se caracteriza por manifestaciones clínicas graves a nivel del sistema nervioso central, cardiovascular y gastrointestinal, asociado a niveles elevados de triyodotironina (T3) l...

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Autores:: Correa Guerrero, José
Corrales Santander, Hugo
Yepes Caro, Jorge
Bello Simanca, Jesús
Rodríguez Arrieta, Luis
Castellanos Pinedo, Alejandro
Rodríguez Garizabalo, Elguis
Dueñas Castell, Carmelo

Tipo de recurso:

Fecha de publicación:: 2025

Institución:: Universidad Simón Bolívar

Repositorio:: Repositorio Digital USB

Idioma:: spa

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dc.title.spa.fl_str_mv	Tormenta tiroidea: abordaje diagnóstico y terapéutico
title	Tormenta tiroidea: abordaje diagnóstico y terapéutico
spellingShingle	Tormenta tiroidea: abordaje diagnóstico y terapéutico Tormenta tiroidea Tirotoxicosis Hipertiroidismo Emergencia endocrina Terapia antitiroidea Thyroid storm Thyrotoxicosis Hyperthyroidism Endocrine emergency
title_short	Tormenta tiroidea: abordaje diagnóstico y terapéutico
title_full	Tormenta tiroidea: abordaje diagnóstico y terapéutico
title_fullStr	Tormenta tiroidea: abordaje diagnóstico y terapéutico
title_full_unstemmed	Tormenta tiroidea: abordaje diagnóstico y terapéutico
title_sort	Tormenta tiroidea: abordaje diagnóstico y terapéutico
dc.creator.fl_str_mv	Correa Guerrero, José Corrales Santander, Hugo Yepes Caro, Jorge Bello Simanca, Jesús Rodríguez Arrieta, Luis Castellanos Pinedo, Alejandro Rodríguez Garizabalo, Elguis Dueñas Castell, Carmelo
dc.contributor.author.none.fl_str_mv	Correa Guerrero, José Corrales Santander, Hugo Yepes Caro, Jorge Bello Simanca, Jesús Rodríguez Arrieta, Luis Castellanos Pinedo, Alejandro Rodríguez Garizabalo, Elguis Dueñas Castell, Carmelo
dc.subject.spa.fl_str_mv	Tormenta tiroidea Tirotoxicosis Hipertiroidismo Emergencia endocrina Terapia antitiroidea
topic	Tormenta tiroidea Tirotoxicosis Hipertiroidismo Emergencia endocrina Terapia antitiroidea Thyroid storm Thyrotoxicosis Hyperthyroidism Endocrine emergency
dc.subject.keywords.eng.fl_str_mv	Thyroid storm Thyrotoxicosis Hyperthyroidism Endocrine emergency
description	La tormenta tiroidea (TT) es una patología infrecuente, pero potencialmente mortal si no se detecta y trata oportunamente. Se caracteriza por manifestaciones clínicas graves a nivel del sistema nervioso central, cardiovascular y gastrointestinal, asociado a niveles elevados de triyodotironina (T3) libre y tiroxina (T4) libre. Las infecciones y/o el abandono del tratamiento son los desencadenantes más frecuentes. Identificar el factor desencadenante, reducir los niveles circulantes de hormonas tiroideas, y admitir a unidad de cuidado intensivo se convierten en la piedra angular del tratamiento. En la presente revisión, basados en un escenario clínico, proporcionaremos información con respecto al abordaje diagnóstico y terapéutico de una TT. © 2024 Asociacion Colombiana de Medicina CrÍtica y Cuidado lntensivo. Publicado por Elsevier España, S.L.U. Se reservan todos los derechos, incluidos los de minería de texto y datos, entrenamiento de IA y tecnologías similares.
publishDate	2025
dc.date.issued.none.fl_str_mv	2025
dc.date.accessioned.none.fl_str_mv	2026-02-02T15:23:20Z
dc.date.available.none.fl_str_mv	2026-02-02T15:23:20Z
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dc.type.spa.none.fl_str_mv	Artículo científico
dc.identifier.citation.none.fl_str_mv	J. Correa-Guerrero, H. Corrales Santander, J. Yepes Caro et al., Tormenta tiroidea: abordaje diagnóstico y terapéutico, Acta Colombiana de Cuidado Intensivo, https://doi.org/10.1016/j.acci.2024.10.010
dc.identifier.issn.none.fl_str_mv	0122-7262 (Electrónico)
dc.identifier.uri.none.fl_str_mv	https://hdl.handle.net/20.500.12442/17318
dc.identifier.doi.none.fl_str_mv	https://doi.org/10.1016/j.acci.2024.10.010
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identifier_str_mv	J. Correa-Guerrero, H. Corrales Santander, J. Yepes Caro et al., Tormenta tiroidea: abordaje diagnóstico y terapéutico, Acta Colombiana de Cuidado Intensivo, https://doi.org/10.1016/j.acci.2024.10.010 0122-7262 (Electrónico)
url	https://hdl.handle.net/20.500.12442/17318 https://doi.org/10.1016/j.acci.2024.10.010 https://www.clinicalkey.es/#!/content/playContent/1-s2.0-S0122726224001083?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0122726224001083%3Fshowall%3Dtrue&referrer=
dc.language.iso.none.fl_str_mv	spa
language	spa
dc.rights.eng.fl_str_mv	Attribution-NonCommercial-NoDerivatives 4.0 International
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dc.rights.uri.none.fl_str_mv	http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.accessrights.none.fl_str_mv	info:eu-repo/semantics/openAccess
rights_invalid_str_mv	Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv	openAccess
dc.publisher.spa.fl_str_mv	Asociación Colombiana de Medicina Crítica y Cuidado lntensivo Ediciones Universidad Simón Bolívar
dc.source.spa.fl_str_mv	Acta Colombiana de Cuidado Intensivo Vol. 25 No. 1 Año 2025
institution	Universidad Simón Bolívar
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spelling	Correa Guerrero, José3aaec6db-2b45-4f64-834f-5ff8b7c46f09-1Corrales Santander, Hugoecc8379c-578d-41d1-865e-a3e7410b36f1-1Yepes Caro, Jorged70180a2-9734-4850-b600-02a3db5da849-1Bello Simanca, Jesús9ec8dcd5-43f6-443d-841e-dfb9a64fc870-1Rodríguez Arrieta, Luisd360cb95-bd57-4804-824a-38e3ecb85475-1Castellanos Pinedo, Alejandro13e637d5-6184-4941-86c3-1f63a982d9a4-1Rodríguez Garizabalo, Elguisfa6e93cc-2181-4d9b-8ce4-18f0d860bd13-1Dueñas Castell, Carmelo20e22541-3764-46e2-af10-3613ba9f7d6d-12026-02-02T15:23:20Z2026-02-02T15:23:20Z2025J. Correa-Guerrero, H. Corrales Santander, J. Yepes Caro et al., Tormenta tiroidea: abordaje diagnóstico y terapéutico, Acta Colombiana de Cuidado Intensivo, https://doi.org/10.1016/j.acci.2024.10.0100122-7262 (Electrónico)https://hdl.handle.net/20.500.12442/17318https://doi.org/10.1016/j.acci.2024.10.010https://www.clinicalkey.es/#!/content/playContent/1-s2.0-S0122726224001083?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0122726224001083%3Fshowall%3Dtrue&referrer=La tormenta tiroidea (TT) es una patología infrecuente, pero potencialmente mortal si no se detecta y trata oportunamente. Se caracteriza por manifestaciones clínicas graves a nivel del sistema nervioso central, cardiovascular y gastrointestinal, asociado a niveles elevados de triyodotironina (T3) libre y tiroxina (T4) libre. Las infecciones y/o el abandono del tratamiento son los desencadenantes más frecuentes. Identificar el factor desencadenante, reducir los niveles circulantes de hormonas tiroideas, y admitir a unidad de cuidado intensivo se convierten en la piedra angular del tratamiento. En la presente revisión, basados en un escenario clínico, proporcionaremos información con respecto al abordaje diagnóstico y terapéutico de una TT. © 2024 Asociacion Colombiana de Medicina CrÍtica y Cuidado lntensivo. Publicado por Elsevier España, S.L.U. Se reservan todos los derechos, incluidos los de minería de texto y datos, entrenamiento de IA y tecnologías similares.Thyroid storm (TT) is a rare but potentially fatal condition if not detected and treated promptly. It is characterized by severe clinical manifestations at the level of the central nervous system, cardiovascular system, and gastrointestinal system, associated with elevated levels of free triiodothyronine (T3) and free thyroxine (T4). Infections and/or treatment discontinuationspaAsociación Colombiana de Medicina Crítica y Cuidado lntensivoEdiciones Universidad Simón BolívarAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Acta Colombiana de Cuidado IntensivoVol. 25 No. 1 Año 2025Tormenta tiroideaTirotoxicosisHipertiroidismoEmergencia endocrinaTerapia antitiroideaThyroid stormThyrotoxicosisHyperthyroidismEndocrine emergencyTormenta tiroidea: abordaje diagnóstico y terapéuticoinfo:eu-repo/semantics/articleArtículo científicohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_2df8fbb1Chiha M, Samarasinghe S, Kabaker AS. Thyroid Storm: An Updated Review. J Intensive Care Med. 2015;30:131---40, http://dx.doi.org/10.1177/0885066613498053.De Almeida R, McCalmon S, Cabandugama PK. Clinical Review and Update on the Management of Thyroid Storm. Mo Med. 2022;119:366---71.Galindo RJ, Hurtado CR, Pasquel FJ, García Tome R, Peng L, Umpierrez GE. National Trends in Incidence, Mortality, and Clinical Outcomes of Patients Hospitalized for Thyrotoxicosis With and Without Thyroid Storm in the United States, 2004- 2013. Thyroid. 2019;29:36---43, http://dx.doi.org/10.1089/ thy.2018.0275.Akamizu T, Satoh T, Isozaki O, Suzuki A, Wakino S, Iburi T, et al. Diagnostic Criteria, Clinical Features, and Incidence of Thyroid Storm Based on Nationwide Surveys. Thyroid. 2012;22:661---79, http://dx.doi.org/10.1089/thy.2011.0334.Ono Y, Ono S, Yasunaga H, Matsui H, Fushimi K, Tanaka Y. Factors Associated With Mortality of Thyroid Storm: Analysis Using a National Inpatient Database in Japan. Medicine. 2016;95:e2848, http://dx.doi.org/10.1097/MD.0000000000002848.Ylli D, Klubo-Gwiezdzinska J, Wartofsky L. Thyroid emergencies. Pol Arch Intern Med. 2019, http://dx.doi.org/ 10.20452/pamw.14876.Akamizu T. Thyroid Storm: A Japanese Perspective. Thyroid. 2018;28:32---40, http://dx.doi.org/10.1089/thy.2017.0243.Fliers E, Bianco AC, Langouche L, Boelen A. Thyroid function in critically ill patients. Lancet Diabet Endocrinol. 2015;3:816---25, http://dx.doi.org/10.1016/S2213-8587(15)00225-9.Brooks MH. Free Thyroxine Concentrations in Thyroid Storm. Ann Intern Med. 1980;93:694, http://dx.doi.org/ 10.7326/0003-4819-93-5-694.Silva JE, Bianco SDC. Thyroid---Adrenergic Interactions: Physiological and Clinical Implications. Thyroid. 2008;18:157---65, http://dx.doi.org/10.1089/thy.2007.0252.Wartofsky L, Klubo-Gwiezdzinska J. Thyroid Storm (Thyrotoxic Crisis). En: Luster M, Duntas LH, Wartofsky L, editores. The Thyroid and Its Diseases. Springer International Publishing; 2019. p. 357---66, http://dx.doi.org/10.1007/978-3-319-72102-6 25.Binod P, Wajeeha A, Kamal B. Thyroid Storm. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan [consultado 5 Oct 2024]. 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Indian Journal of Endocrinology and Metabolism. 2024;28:302---7, http://dx.doi.org/10.4103/ijem.ijem 355 23.Elendu C, Amaechi DC, Amaechi EC, Chima-Ogbuiyi NL, Afuh RN, Arrey Agbor DB, et al. Diagnostic criteria and scoring systems for thyroid storm: An evaluation of their utility --- comparative review. Medicine. 2024;103:e37396, http://dx.doi.org/ 10.1097/MD.0000000000037396.Vadini V, Vasistha P, Shalit A, Maraka S. Thyroid storm in pregnancy: a review. Thyroid Res. 2024;17:2, http://dx.doi.org/ 10.1186/s13044-024-00190-y.Ross DS, Burch HB, Cooper DS, Greenlee MC, Laurberg P, Maia AL, et al. 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis. Thyroid. 2016;26:1343---421, http://dx.doi.org/10.1089/thy.2016.0229.Satoh T, Isozaki O, Suzuki A, Wakino S, Iburi T, Tsuboi K, et al. 2016 Guidelines for the management of thyroid storm from The Japan Thyroid Association and Japan Endocrine Society (First edition): The Japan Thyroid Association and Japan Endocrine Society Taskforce Committee for the establishment of diagnostic criteria and nationwide surveys for thyroid storm [Opinion]. Endocr J. 2016;63:1025---64, http://dx.doi.org/10.1507/endocrj.EJ16-0336.Kahaly GJ, Bartalena L, Hegedüs L, Leenhardt L, Poppe K, Pearce SH. 2018 European Thyroid Association Guideline for the Management of Graves’ Hyperthyroidism. Eur Thyroid J. 2018;7:167---86, http://dx.doi.org/10.1159/000490384.Bourcier S, Coutrot M, Kimmoun A, Sonneville R, De Montmollin E, Persichini R, et al. Thyroid Storm in the ICU: A Retrospective Multicenter Study. 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INSPILIP. 2023;7, http://dx.doi.org/10.31790/inspilip.v7i22.423.Especialización en Medicina InternaORIGINALLICENSElicense.txtlicense.txttext/plain; charset=utf-8381https://bonga.unisimon.edu.co/bitstreams/5e5b607b-5124-4afe-86d9-346a97d362b2/download733bec43a0bf5ade4d97db708e29b185MD52CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8899https://bonga.unisimon.edu.co/bitstreams/a04bdc59-17e6-4cdb-a846-b97cff7f8d82/download3b6ce8e9e36c89875e8cf39962fe8920MD5320.500.12442/17318oai:bonga.unisimon.edu.co:20.500.12442/173182026-02-02 14:55:50.889http://creativecommons.org/licenses/by-nc-nd/4.0/Attribution-NonCommercial-NoDerivatives 4.0 Internationalmetadata.onlyhttps://bonga.unisimon.edu.coRepositorio Digital Universidad Simón Bolívarrepositorio.digital@unisimon.edu.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