Hyperthyroid-induced atrial flutter-fibrillation with profound sinoatrial nodal pauses due to small doses of digoxin, verapamil, and propranolol
| Autor: | J. D. Talley, M. S. Wathen, Hurst Jw |
|---|---|
| Rok vydání: | 1989 |
| Předmět: |
Digoxin
medicine.medical_specialty medicine.medical_treatment macromolecular substances Propranolol Hyperthyroidism Sick sinus syndrome Internal medicine Atrial Fibrillation Humans Medicine cardiovascular diseases Chemotherapy business.industry Arrhythmias Cardiac Atrial fibrillation General Medicine Middle Aged medicine.disease Discontinuation Atrial Flutter Verapamil Anesthesia cardiovascular system Cardiology Female Cardiology and Cardiovascular Medicine business Atrial flutter medicine.drug |
| Zdroj: | Clinical Cardiology. 12:45-47 |
| ISSN: | 1932-8737 0160-9289 |
| DOI: | 10.1002/clc.4960120109 |
| Popis: | Atrial fibrillation due to hyperthyroidism is characterized by a rapid ventricular response which is typically resistant to digoxin therapy. We report a patient with atrial flutter-fibrillation who developed cyclic sinus node dysfunction with profound ventricular pauses in response to small doses of digoxin, verapamil, and propranolol, which resolved with discontinuation of the medications. Caution is necessary to avoid paradoxical ventricular slowing when treating hyperthyroid-induced atrial fibrillation. |
| Databáze: | OpenAIRE |
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