Document Detail


Unusual presentation of thyrotoxicosis as complete heart block and renal failure: a case report.
MedLine Citation:
PMID:  20062792     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
INTRODUCTION: Thyrotoxicosis is a clinical entity often very difficult to diagnose without biochemical confirmation as its clinical features can be highly varied. The most common cardiac manifestations of thyrotoxicosis are resting sinus tachycardia, supraventricular tachycardia including atrial fibrillation and atrial flutter with or without cardiac failure. Bradycardia and atrio-ventricular conduction defects are very uncommon in thyrotoxicosis.
CASE PRESENTATION: We report the case of a 59-year-old Caucasian man presenting with progressive weight loss, abnormal liver function, acute renal failure and complete heart block due to thyrotoxicosis.
CONCLUSION: Thyrotoxicosis should be considered as a possible diagnosis in patients with bradycardia and heart blocks associated with abnormal symptoms like weight loss. Nevertheless, the clinical, electrophysiological and biochemical abnormalities associated with thyrotoxicosis may be completely reversible restoring euthyroid state.
Authors:
Suresh Krishnamoorthy; Rajay Narain; John Creamer
Publication Detail:
Type:  Journal Article     Date:  2009-11-28
Journal Detail:
Title:  Journal of medical case reports     Volume:  3     ISSN:  1752-1947     ISO Abbreviation:  J Med Case Reports     Publication Date:  2009  
Date Detail:
Created Date:  2010-01-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101293382     Medline TA:  J Med Case Reports     Country:  England    
Other Details:
Languages:  eng     Pagination:  9303     Citation Subset:  -    
Affiliation:
City Hospital, Sandwell and West Birmingham Hospitals, NHS Trust, Birmingham, B18 7QH, UK.
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