Sinus arrest following diuretic therapy in a patient with myxedema and hypertension.

Abstract:

:A 65-year-old female patient suffering from hypertension and myxedema due to chronic thyroiditis developed anginal attacks under trichlormethiazide therapy. The ECG revealed a SA block with reciprocal beats and aberrant ventricular conduction in a form of bigeminy. Upon substitution of desiccated thyroid for the antihypertensive drug, the anginal attacks subsided, the conduction disturbances disappeared and the blood pressure returned to normal without hypotensive treatment. This observation suggests that replacement therapy should precede diuretics in hypertensive patients with myxedema.

journal_name

Cardiology

journal_title

Cardiology

authors

Takeda R,Ueno T,Tsutchiya M,Kawasaki S,Masuya H

doi

10.1159/000169716

subject

Has Abstract

pub_date

1975-01-01 00:00:00

pages

185-91

issue

3

eissn

0008-6312

issn

1421-9751

journal_volume

60

pub_type

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