甲状旁腺切除术后短暂性甲状腺毒症诱发的心房颤动。

Atrial fibrillation induced by post-parathyroidectomy transient thyrotoxicosis.

作者信息

Sato Haruhiro, Miyamoto Yoshiyasu, Inagaki Miho, Kanai Genta, Suzuki Hajime, Tanaka Reika, Kakuta Takatoshi, Saito Akira

机构信息

Department of Medicine, Tokai University School of Medicine, Isehara.

出版信息

Intern Med. 2008;47(20):1807-11. doi: 10.2169/internalmedicine.47.1264. Epub 2008 Oct 15.

DOI:10.2169/internalmedicine.47.1264

PMID:18854634

Abstract

We describe a 59-year-old Japanese woman with post-parathyroidectomy transient thyrotoxicosis and atrial fibrillation. She underwent parathyroidectomy for secondary hyperparathyroidism due to chronic renal failure. Three days after surgery, she complained of palpitation and chest pain due to atrial fibrillation. Results of thyroid function tests were compatible with thyrotoxicosis. Twelve days after parathyroidectomy, the elevated level of free thyroxine decreased spontaneously to the normal range. These features were compatible with post-parathyroidectomy transient thyrotoxicosis. No further recurrences of thyrotoxicosis or atrial fibrillation were observed for one year. This is the first report of atrial fibrillation induced by post-parathyroidectomy transient thyrotoxicosis.

摘要

我们描述了一位59岁的日本女性，她在甲状旁腺切除术后出现短暂性甲状腺毒症和心房颤动。她因慢性肾衰竭继发甲状旁腺功能亢进接受了甲状旁腺切除术。术后三天，她因心房颤动出现心悸和胸痛。甲状腺功能测试结果与甲状腺毒症相符。甲状旁腺切除术后12天，游离甲状腺素升高水平自发降至正常范围。这些特征与甲状旁腺切除术后短暂性甲状腺毒症相符。一年来未观察到甲状腺毒症或心房颤动的进一步复发。这是关于甲状旁腺切除术后短暂性甲状腺毒症诱发心房颤动的首例报告。