Open Access Case Report Article ID: JCMC-4-138

    Sinoatrial Blocks in Hyperthyroidism Treated with Beta-Blockers: A Case of Paradoxical Treatment

    Caterina Chiara De Carlini*, Ester Meles, Roberto Galbiati, Marco Di Sabato, Gaetano Gentile, Andrea Farina and Stefano Maggiolini

    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 effi ciently with beta-blockers.

    We hypothesized the Bezold-Jarisch refl ex 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.

    Keywords: Sinoatrial blocks, Hyperthyroidism, Betablockers

    Published on: Mar 16, 2017 Pages: 10-11

    Full Text PDF Full Text HTML DOI: 10.17352/2455-2976.000038
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