Which complication is NOT a risk associated with acute thyrotoxicosis?

Acute thyrotoxicosis, also known as a thyroid storm, is a serious condition characterized by an overproduction of thyroid hormones. This can lead to a range of complications primarily related to increased metabolism and effects on the cardiovascular system.

High-output heart failure is a recognized complication due to the elevated cardiac output that results from the hypermetabolic state induced by excess thyroid hormones. The increased heart rate and contractility, coupled with the overall increased oxygen demand, can overwhelm the heart's ability to maintain adequate circulation, leading to congestive heart failure.

Cardiogenic shock may also occur due to the heart's inability to pump effectively, especially in the setting of a hyperdynamic circulation and the resulting myocardial strain.

Stroke can be a potential risk as well, since the hyperthyroid state can lead to atrial fibrillation, which increases the risk of thromboembolic events. The heightened heart rate and erratic heart rhythms can contribute to inadequate blood flow dynamics, leading to possible cerebrovascular accidents.

In contrast, sepsis is not directly associated with acute thyrotoxicosis. Sepsis is usually the result of a systemic infection rather than a complication of thyroid hormone excess. While patients with acute thyrotoxicosis can have other underlying