Abstract:
:Thyrotoxicosis is an uncommon cause of low-output congestive heart failure. The case of a 41-year-old male who presented with severe symptomatic congestive heart failure, and was subsequently diagnosed with dilated cardiomyopathy secondary to hyperthyroidism, is presented. The cause of his hyperthyroidism was Graves disease. Despite an initial left ventricular systolic ejection fraction of 20% and evidence of global hypokinesis on echocardiography, treatment with antithyroid agents led to rapid improvement in his clinical status and normalization of his ejection fraction. The proposed mechanisms underlying the development of systolic dysfunction in thyrotoxicosis are discussed, and the literature on similar cases previously reported is reviewed.
journal_name
South Med Jjournal_title
Southern medical journalauthors
Khandwala HMdoi
10.1097/01.SMJ.0000125100.10857.54subject
Has Abstractpub_date
2004-10-01 00:00:00pages
1001-3issue
10eissn
0038-4348issn
1541-8243journal_volume
97pub_type
杂志文章abstract::Skin and soft tissue necrosis is an uncommon but increasingly recognized complication of coumarin anticoagulant therapy. A patient is described with extensive involvement of all four extremities and the nose, requiring amputation of three extremities. The characteristic clinical features of the disorder are reviewed, ...
journal_title:Southern medical journal
pub_type: 杂志文章
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