Sinoatrial Blocks in Hyperthyroidism Treated with Beta-Blockers: A Case of Paradoxical Treatment
Journal Title: Journal of Cardiovascular Medicine and Cardiology - Year 2017, Vol 4, Issue 1
Abstract
We describe an interesting case of a 52 year-old patient affected by thyrotoxicosis crisis, in whom sinoatrial blocks were associated with syncope and treated efficiently with beta-blockers. We hypothesized the Bezold-Jarisch reflex as the mechanism which leads to bradycardia and hypotension with syncope related to prolonged tachycardia. This hypothesis has not been, to our knowledge, considered in previous studies and offers therapeutic methods, as the patient was not treated with permanent pacing.
Authors and Affiliations
Caterina Chiara De Carlini, Ester Meles, Roberto Galbiati, Marco Di Sabato, Gaetano Gentile, Andrea Farina, Stefano Maggiolini
Keywords
Related Articles
- EP ID EP231694
- DOI 10.17352/2455-2976.000038
- Views 58
- Downloads 0
How the New International recommendation for Electrocardiographic interpretation in Athletes would change our practice
Recent evidences in the prevention of sudden cardiac death (SCD) confirmed the importance of pre-participation cardiovascular screening in athletes to early identify, and further disqualify from the competition, all the...
Can Strict Control of Renalase Present a New Treatment Alternative in Regulating Blood Pressure?
Blood pressure is the pressure the blood in arteries applies on vessels. Abnormal blood pressure is a major public health problem commonly encountered in the population with normal blood pressure and intensive care patie...
Direct Aortic Evolut R Implantation as Valve-In-Valve in a Patient Affected by Leriche Syndrome
Transcatheter aortic valve implantation (TAVI) has been designed to treat elderly patients with severe aortic stenosis considered high-risk surgical candidates. Due to the large device size, even of current generation s...
Hurdles for Starting Ministernotomy Aortic Valve Replacement Program
Research article regarding hurdles for starting ministernotomy Aortic valve replacement program in Grant Medical College, Mumbai and techniques to overcome them. Here we studied twenty patients of aortic valve replacemen...
Clinico-Etiological Profile of Cardiac Tamponade in a Tertiary Care Centre
Background: Pericardial tamponade, a life-threatening condition caused by the accumulation of fluid in the pericardial sac, can be acute or chronic. Mortality and morbidity can be minimized on prompt diagnosis and treatm...