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胺碘酮致甲状腺功能亢进引发的耐药性室性心动过速:电风暴病例报告。

Therapy-resistant ventricular tachycardia caused by amiodarone-induced thyrotoxicosis: a case report of electrical storm.

机构信息

Department of Cardiology, Meram School of Medicine, Cardiology Department, Konya 42090, Turkey.

出版信息

Am J Emerg Med. 2012 Nov;30(9):2092.e5-7. doi: 10.1016/j.ajem.2011.12.035. Epub 2012 Mar 3.

Abstract

Electrical storm is a challenging diagnosis for the clinician and requires detailed evaluation of the patient. Amiodarone is frequently used for the cessation of ventricular tachycardia attacks. Within antiarrhythmic effects of amiodarone, there are some harmful effects of the recent drug. Thyroid gland toxicity is one of the most important adverse effects of amiodarone and is called amiodarone-induced thyrotoxicosis. Thyrotoxicosis may alter arrhythmia and lead to frequent ventricular tachycardia attacks. Herein, we report a case of electrical storm caused by amiodarone-induced thyrotoxicosis.

摘要

电风暴对临床医生来说是一个具有挑战性的诊断,需要对患者进行详细评估。胺碘酮常用于终止室性心动过速发作。胺碘酮除了有抗心律失常作用外,还有一些近期药物的有害作用。甲状腺毒性是胺碘酮最重要的不良反应之一,称为胺碘酮诱导的甲状腺功能亢进症。甲状腺毒症可改变心律失常并导致频繁发生室性心动过速发作。在此,我们报告一例由胺碘酮诱导的甲状腺功能亢进症引起的电风暴。

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