Severe bradycardia at acute medical take - Think about myxoedema coma.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-06-01 Epub Date: 2024-04-10 DOI:10.1177/14782715241244840

Aye Chan Maung, Henrietta Brain, Chitrabhanu Ballav, Sarbpreet Sihota

引用次数: 0

Abstract

We report two cases of myxoedema coma that presented to the acute medical take with severe bradycardia. These patients were initially misdiagnosed as bradyarrhythmia of primary cardiac origin. They were then diverted to the cardiology service at another district general hospital (DGH) for admissions. Both cases were subsequently diagnosed with myxoedema coma having screened thyroid function tests on arrival at the cardiology unit. Despite being treated for myxoedema coma, both patients unfortunately succumbed to the disease and later died in the hospital. These cases highlight that clinical suspicion and recognition of myxoedema coma remain significant challenges in a developed world despite readily available and highly sensitive thyroid hormone assays.

查看原文本刊更多论文

急诊时出现严重心动过缓 - 考虑肌性水肿昏迷。

我们报告了两例因严重心动过缓而急诊就医的肌性水肿昏迷患者。这些患者最初被误诊为原发性心动过缓。随后，他们被转到另一家地区综合医院（DGH）的心脏科就诊。两例患者在抵达心脏病科时均进行了甲状腺功能筛查，随后被诊断为肌性水肿昏迷。尽管两例患者都接受了肌水肿性昏迷的治疗，但不幸的是，他们都死于该病，后来都死在了医院里。这些病例凸显出，尽管甲状腺激素检测方法非常容易获得且灵敏度很高，但在发达国家，临床怀疑和识别肌水肿性昏迷仍然是一项重大挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.