继发于巴塞杜氏病的急性心肌炎：病例报告

IF 0.3 Q4 Medicine

Annales de cardiologie et d'angeiologie Pub Date : 2024-09-21 DOI:10.1016/j.ancard.2024.101808

Laura Eouzan-Dahan , Alexandre Neyret , Thibaut Wajchert , Virginie Desforges-Bullet , Géraldine Gibault-Genty , Jean-Louis Georges

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引用次数: 0

摘要

甲状腺和心脏之间的关系既密切又复杂。在极少数情况下，由巴塞杜氏病诱发的甲状腺功能亢进可能并发急性心肌炎，从而危及生命。我们报告了一例41岁的女性患者，她患有巴塞杜氏病，抗甲状腺药物无法控制病情，因吞咽异物、心房颤动引起的心悸、心电图弥漫性ST段抬高和心肌肌钙蛋白升高而住院治疗。冠状动脉造影检查正常，心脏核磁共振成像证实为急性心肌炎。在经历了以室上性和室性节律紊乱为特征的阶段后，病情发展良好。本文结合文献综述，讨论了这种关联在诊断和治疗方面的挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Myocardite aiguë secondaire à une maladie de Basedow : à propos d'un cas

The relationships between the thyroid and the heart are close and complex. In rare cases, hyperthyroidism induced by Graves' disease can be complicated by an acute myocarditis, which may be life-threatening. We report the case of a 41-year-old woman with Graves' disease not controlled by antithyroid drugs, hospitalized for odynophagia, palpitations due to atrial fibrillation, diffuse ST elevation on ECG and an increase in cardiac troponin. Coronary angiography was normal, cardiac MRI confirmed acute myocarditis. The evolution was favorable after a phase marked by supraventricular and ventricular rhythm disorders. The diagnostic and therapeutic challenge of this association are discussed, with a review of the literature.

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来源期刊

Annales de cardiologie et d'angeiologie 医学-外周血管病

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Organe scientifique de référence fondé en 1951, les Annales de cardiologie et d''angéiologie abordent tous les domaines qui intéressent quotidiennement les cardiologues et les angéiologues praticiens : neurologie et radiologie vasculaires, hémostase, diabétologie, médecine interne, épidémiologie et prévention. Les Annales de cardiologie et d''angéiologie sont indexées aux grandes bases de données et publient rapidement, et en conformité avec les normes internationales de publication scientifique, des articles en français sur la pathologie cardiaque.