Atri Sudhir Kumar, Chugh S N, Goya Sandeep, Chugh Kiran
Dept. of Medicine and Biochemistry, Pt. BD Sharma PGIMS, Rohtak, Haryana.
J Assoc Physicians India. 2011 Mar;59:178-9.
Atrioventricular blocks or sinoatrial blocks are rarely described in patients with thyrotoxicosis or thyroid storm. The mechanism of these blocks remains obscure. Thyroid storm, being an emergency situation requires early diagnosis and management because if left untreated, it may prove fatal. Usually patients with AV blocks require pacing (temporary or permanent). Here we describe a case who developed AV blocks, did not undergo pacing, but recovered only on antithyroid treatment.
房室传导阻滞或窦房传导阻滞在甲状腺毒症或甲状腺危象患者中鲜有报道。这些传导阻滞的机制仍不清楚。甲状腺危象作为一种紧急情况，需要早期诊断和处理，因为若不治疗，可能会致命。通常，患有房室传导阻滞的患者需要起搏治疗（临时或永久）。在此，我们描述一例发生房室传导阻滞但未接受起搏治疗、仅通过抗甲状腺治疗而康复的病例。
