What question did this study set out to answer?

To investigate the cause of a hypertensive crisis with tachycardia during surgery in a healthy male.

Intraoperative Hypertensive Crisis with Tachycardia – An Exaggerated Intubation Response or Subclinical Hyperthyroidism Unmasked

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Case report reveals unexplained hypertensive crisis in a young male during surgery, suggesting thyroid involvement.

To investigate the cause of a hypertensive crisis with tachycardia during surgery in a healthy male.
Reported a case of a young male undergoing laparoscopic appendectomy
Administered glycopyrrolate for bradycardia before hypertensive crisis
Treated hypertensive crisis initially with propofol and dexmedetomidine, then with intravenous esmolol
Postoperative thyroid hormone levels were assessed for diagnosis
The hypertensive crisis was not due to an exaggerated intubation response
Thyroid storm was confirmed by elevated postoperative thyroid-stimulating hormone and free T4 levels
Esmolol effectively managed the severe hypertension and tachycardia

Tauheed et al. (2026) studied this question.

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