Chavez-Flores Valerie, Sharobiem Andro, Kim Steven, Kang Michael, Kim Tommy Y
Emergency Medicine, HCA Healthcare, Riverside Community Hospital, Riverside, USA.
Internal Medicine, HCA Healthcare, Riverside Community Hospital, Riverside, USA.
Cureus. 2024 Aug 6;16(8):e66288. doi: 10.7759/cureus.66288. eCollection 2024 Aug.
Painless thyroiditis is a variant of thyroiditis without the typical neck pain and is otherwise similar to subacute thyroiditis, which is a known post-viral condition and has been associated with coronavirus disease 2019 (COVID-19) infections. While it is usually self-limiting, it can lead to thyrotoxicosis that can predispose individuals to cardiac dysrhythmias, including atrial fibrillation. There has been a clear association between COVID-19 and subacute thyroiditis with a few case reports describing atrial fibrillation. We present a case of a healthy patient with new-onset atrial fibrillation secondary to painless thyroiditis. This report highlights the rare entity of painless thyroiditis leading to atrial fibrillation with rapid ventricular response in a patient who recently recovered from COVID-19. Physicians should consider the potential association of painless thyroiditis in patients with new-onset atrial fibrillation who recently recovered from COVID-19.
无痛性甲状腺炎是甲状腺炎的一种变体，无典型的颈部疼痛，在其他方面与亚急性甲状腺炎相似，亚急性甲状腺炎是一种已知的病毒感染后疾病，且与2019冠状病毒病（COVID-19）感染有关。虽然它通常是自限性的，但可导致甲状腺毒症，使个体易患心律失常，包括心房颤动。COVID-19与亚急性甲状腺炎之间存在明确关联，有一些病例报告描述了心房颤动。我们报告一例健康患者，因无痛性甲状腺炎继发新发心房颤动。本报告强调了在一名近期从COVID-19康复的患者中，无痛性甲状腺炎导致心房颤动并伴有快速心室反应这一罕见情况。医生应考虑到近期从COVID-19康复的新发心房颤动患者中无痛性甲状腺炎的潜在关联。
