Document Detail


A case of transient 2:1 atrioventricular block, resolved by thyroxine supplementation for subclinical hypothyroidism.
MedLine Citation:
PMID:  16441726     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 42-year-old man was admitted to our hospital with palpitation attacks. Holter ECG showed 2:1 atrioventricular block and bradycardia with the minimum heart rate of 44 beats/min. There was a possible indication of electrophysiological study and cardiac pacemaker implantation. Laboratory data on admission revealed elevated thyrotropin level, with normal thyroxine level. To rule out functional atrioventricular block, we tried 2 weeks of the thyroxine supplementation, and Holter ECG showed improved heart rate without any atrioventricular block or long pause. We experienced that subclinical hypothyroidism caused severe bradycardia and 2:1 atrioventricular block, and that thyroxine supplementation completely improved these conditions.
Authors:
Yukiteru Nakayama; Makoto Ohno; Shigeto Yonemura; Hiroki Uozumi; Naoshi Kobayakawa; Kazuyuki Fukushima; Hiroaki Takeuchi; Teruhiko Aoyagi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  29     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2006-01-30     Completed Date:  2006-07-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  106-8     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Medicine, Japanese Red Cross Medical Center, Hiroo, Tokyo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Bradycardia / drug therapy,  etiology
Electrocardiography, Ambulatory
Heart Block / drug therapy*,  etiology*
Humans
Hypothyroidism / complications*,  drug therapy*
Male
Thyroxine / therapeutic use*
Chemical
Reg. No./Substance:
7488-70-2/Thyroxine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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