Eom Young Sil, Oh Pyung Chun
Department of Internal Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Republic of Korea.
Case Rep Endocrinol. 2020 Dec 15;2020:6656875. doi: 10.1155/2020/6656875. eCollection 2020.
Hyperthyroidism commonly causes tachyarrhythmias such as sinus tachycardia and atrial fibrillation. Impaired atrioventricular conduction is a very rare complication of hyperthyroidism. We report a case of a patient with hyperthyroidism due to Graves' disease presenting with syncope and complete atrioventricular block. Because lack of awareness of atypical presentation in patients with hyperthyroidism may delay diagnosis and treatment, the recognition that hyperthyroidism can be one of the reversible causes of complete atrioventricular block is important.
甲状腺功能亢进症通常会引发窦性心动过速和心房颤动等快速性心律失常。房室传导受损是甲状腺功能亢进症极为罕见的并发症。我们报告一例因格雷夫斯病导致甲状腺功能亢进症的患者,该患者出现晕厥并伴有完全性房室传导阻滞。由于对甲状腺功能亢进症患者非典型表现认识不足可能会延误诊断和治疗,因此认识到甲状腺功能亢进症可能是完全性房室传导阻滞的可逆病因之一非常重要。