| Literature DB >> 28348695 |
Sang-Hoon Seol1, Doo-Il Kim1, Bo-Min Park1, Dong-Kie Kim1, Pil-Sang Song1, Ki-Hun Kim1, Han-Young Jin2, Jeong-Sook Seo2, Jae-Sik Jang2, Tae-Hyun Yang2, Dae-Kyeong Kim2, Dong-Soo Kim2.
Abstract
A 75-year-old man was admitted to our hospital with syncope. Electrocardiogram showed complete atrioventricular block and bradycardia with the minimum heart rate of 22 beats/ min. There was a possible indication for temporary cardiac pacemaker implantation. Laboratory data on admission revealed high TSH level with low free T4 level. To rule out functional atrioventricular block, we treated several days with thyroxine. A follow-up electrocardiogram showed improved heart rate without any atrioventricular block. We found that severe hypothyroidism caused a complete atrioventricular block with syncope, and thyroxine replacement completely improved these conditions.Entities:
Keywords: Atrioventricular block; Hypothyroidism; Syncope
Year: 2012 PMID: 28348695 PMCID: PMC5358139 DOI: 10.4021/cr221w
Source DB: PubMed Journal: Cardiol Res ISSN: 1923-2829