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拯救大局的反派：胺碘酮在治疗胺碘酮诱发的甲状腺炎继发的复发性室性心动过速中的矛盾价值。

The Villain Who Saved the Day: The Paradoxical Value of Amiodarone in Managing Recurrent Ventricular Tachycardia Secondary to Amiodarone-Induced Thyroiditis.

作者信息

Alotaibi Rakan M, Abdullah Khaled M, Ong Cheng Ken, Lee Vetton Chee Kay, Goh Jing W

机构信息

Internal Medicine, McGill University, Montréal, CAN.

Internal Medicine, King Faisal Specialist Hospital and Research Center, Madinah, SAU.

出版信息

Cureus. 2024 Feb 27;16(2):e55082. doi: 10.7759/cureus.55082. eCollection 2024 Feb.

DOI:10.7759/cureus.55082
PMID:38550488
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10978067/
Abstract

Thyroiditis is a rare and serious complication for patients taking amiodarone. It can manifest with symptoms of hyperthyroidism and serious life-threatening arrhythmias. We present a case of a patient with amiodarone-induced thyrotoxicosis presenting with an electrical storm in which rhythm control was achieved with the utilization of amiodarone.

摘要

甲状腺炎是服用胺碘酮的患者罕见且严重的并发症。它可表现为甲状腺功能亢进症状和严重的危及生命的心律失常。我们报告一例胺碘酮诱发甲状腺毒症患者出现电风暴的病例，该患者通过使用胺碘酮实现了节律控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca52/10978067/4f26a612feaa/cureus-0016-00000055082-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca52/10978067/7d58c5198e58/cureus-0016-00000055082-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca52/10978067/4f26a612feaa/cureus-0016-00000055082-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca52/10978067/7d58c5198e58/cureus-0016-00000055082-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca52/10978067/4f26a612feaa/cureus-0016-00000055082-i02.jpg

相似文献

1
The Villain Who Saved the Day: The Paradoxical Value of Amiodarone in Managing Recurrent Ventricular Tachycardia Secondary to Amiodarone-Induced Thyroiditis.拯救大局的反派：胺碘酮在治疗胺碘酮诱发的甲状腺炎继发的复发性室性心动过速中的矛盾价值。
Cureus. 2024 Feb 27;16(2):e55082. doi: 10.7759/cureus.55082. eCollection 2024 Feb.
2
Therapy-resistant ventricular tachycardia caused by amiodarone-induced thyrotoxicosis: a case report of electrical storm.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。
Am J Emerg Med. 2012 Nov;30(9):2092.e5-7. doi: 10.1016/j.ajem.2011.12.035. Epub 2012 Mar 3.
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Atrial fibrillation due to late amiodarone-induced thyrotoxicosis.胺碘酮迟发性致甲状腺毒症所致心房颤动。
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[Value of thyroidectomy in amiodarone-induced hyperthyroidism. Apropos of 3 cases].[甲状腺切除术在胺碘酮所致甲状腺功能亢进症中的价值。附3例报告]
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Electrical storm due to amiodarone induced thyrotoxicosis in a young adult with dilated cardiomyopathy: thyroidectomy as the treatment of choice.胺碘酮诱发甲状腺毒症导致一名年轻扩张型心肌病患者发生电风暴：甲状腺切除术为首选治疗方法。
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Amiodarone-Induced thyroid dysfunction and ventricular tachyarrhythmias during long-term therapy in Japan.日本长期使用胺碘酮治疗期间的甲状腺功能障碍和室性快速心律失常。
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Preoperative therapeutic apheresis for severe medically refractory amiodarone-induced thyrotoxicosis: a case report.术前治疗性血液成分单采术治疗严重药物难治性胺碘酮所致甲状腺毒症：一例报告
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Thyroid storm associated with type 2 amiodarone-induced thyrotoxicosis due to long-term administration: a case report.长期服用胺碘酮致2型甲状腺毒症相关的甲状腺风暴：一例报告
Acute Med Surg. 2020 Dec 12;7(1):e616. doi: 10.1002/ams2.616. eCollection 2020 Jan-Dec.

本文引用的文献

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Amiodarone-induced thyrotoxicosis with thyroid papillary cancer in multinodular goiter: case report.胺碘酮致多结节性甲状腺肿伴甲状腺乳头状癌甲状腺功能亢进症 1 例报告。
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A Case of Amiodarone-Induced Thyrotoxicosis: A diagnostic and therapeutic dilemma.胺碘酮所致甲状腺毒症一例：诊断与治疗困境
Sultan Qaboos Univ Med J. 2009 Dec;9(3):319-23. Epub 2009 Dec 19.
6
Amiodarone-induced thyrotoxicosis is a predictor of adverse cardiovascular outcome.胺碘酮所致甲状腺毒症是不良心血管结局的一个预测指标。
J Clin Endocrinol Metab. 2009 Jan;94(1):109-14. doi: 10.1210/jc.2008-1907. Epub 2008 Oct 21.
7
Diagnosis and management of amiodarone-induced thyrotoxicosis: similarities and differences between North American and European thyroidologists.胺碘酮所致甲状腺毒症的诊断与管理：北美与欧洲甲状腺专家之间的异同
Clin Endocrinol (Oxf). 2008 Nov;69(5):812-8. doi: 10.1111/j.1365-2265.2008.03268.x. Epub 2008 Apr 10.
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Electrical storm in patients with an implanted defibrillator: a matter of definition.植入式除颤器患者的电风暴：定义问题。
Ann Noninvasive Electrocardiol. 2007 Oct;12(4):375-82. doi: 10.1111/j.1542-474X.2007.00187.x.
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A practical guide for clinicians who treat patients with amiodarone: 2007.2007年胺碘酮治疗患者临床实用指南。
Heart Rhythm. 2007 Sep;4(9):1250-9. doi: 10.1016/j.hrthm.2007.07.020. Epub 2007 Jul 20.
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Amiodarone-induced thyrotoxicosis: clinical course and predictors of outcome.胺碘酮所致甲状腺毒症：临床病程及预后预测因素
J Am Coll Cardiol. 2007 Jun 19;49(24):2350-5. doi: 10.1016/j.jacc.2007.02.054. Epub 2007 Jun 4.