Atrioventrikulärer Block nach Carotisdruck bei Hypothyreose: Normalisierung nach Substitution

Autor: N. Schaub, Th. Mall, J. J. Staub, D. Burckhardt
Rok vydání: 2008
Předmět:
Zdroj: DMW - Deutsche Medizinische Wochenschrift. 106:1538-1541
ISSN: 1439-4413
0012-0472
DOI: 10.1055/s-2008-1070550
Popis: Severe auto-immune hypothyroidism, probably after hyperthyroidism, was diagnosed in a 79-year-old woman with hypothyroidism (T3 and T4 immeasurably low) without the classical signs of myxoedema heart. On carotid sinus pressure transitory first degree AV block occurred and, on one occasion, complete AV block. This response disappeared after substitution treatment for four weeks with 50 microgram L-thyroxine. Further examination half a year later, on a maintenance of 75 microgram thyroxine, also gave a negative response to carotid sinus pressure.
Databáze: OpenAIRE