Dome-and-dart T Waves and Hyperthyroidism - A Case Report.

Q2 Medicine
European Endocrinology Pub Date : 2020-04-01 Epub Date: 2020-02-28 DOI:10.17925/EE.2020.16.1.69
Matteo Parolin, Francesca Dassie, Eugenio De Carlo, Roberto Vettor, Pietro Maffei
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引用次数: 0

Abstract

We briefly describe a case of a 31-year-old man with persistent hyperthyroidism, despite medical treatment with high dose methimazole. Twelve-lead 24-hour Holter monitoring showed bifid (or dome-and-dart) T waves and echocardiography revealed mild left ventricle dilatation. Hyperthyroidism was eventually treated with total thyroidectomy, and thereafter, T waves became normal and the left ventricle returned to normal dimensions. Hyperthyroidism should be considered among the differential diagnoses when T wave abnormalities are observed on electrocardiogram and when mild left ventricle dilatation is observed on an echocardiogram. The correction of hyperthyroidism can reverse these abnormalities.

圆顶型T波与甲状腺机能亢进1例报告。
我们简要地描述了一个病例31岁的男子持续甲状腺功能亢进,尽管医学治疗与高剂量甲巯咪唑。12导联24小时动态心电图显示双裂T波,超声心动图显示轻度左心室扩张。甲状腺功能亢进最终通过全甲状腺切除术治疗,此后T波恢复正常,左心室恢复正常尺寸。当心电图T波异常和超声心动图轻度左心室扩张时,应考虑甲状腺功能亢进的鉴别诊断。甲状腺机能亢进的矫正可以逆转这些异常。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
European Endocrinology
European Endocrinology Medicine-Endocrinology, Diabetes and Metabolism
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