Windeck R, Hager W, Reinwein D
Dtsch Med Wochenschr. 1976 Jan 9;101(2):48-50. doi: 10.1055/s-0028-1104032.
A demand pacemaker was implanted into a 74-year-old listless woman who was in congestive heart failure, obese and had diabetes mellitus. The ECG indicated a 2 : 1 A-V block (ventricular rate 40/min). Two days after implantation a sinus tachycardia of 98/min occurred and the diabetic metabolic state deteriorated. This was probably due to hyperthyroidism in a thyroid gland of normal size but varying uptake, and was possibly precipitated by the administration of iodine contained in an anti-asthmatic medication.
一名74岁、精神萎靡的女性因充血性心力衰竭、肥胖且患有糖尿病，植入了按需型起搏器。心电图显示为2:1房室传导阻滞（心室率40次/分钟）。植入起搏器两天后，出现了窦性心动过速，心率为98次/分钟，糖尿病代谢状态恶化。这可能是由于甲状腺大小正常但摄取量不同导致的甲状腺功能亢进，并且可能是由一种抗哮喘药物中含有的碘的给药所诱发的。
