2014, Number 3
<< Back Next >>
Rev Mex Pediatr 2014; 81 (3)
Paroxysmal supraventricular tachycardia in a preschool with thyrotoxicosis
Hernández-Herrera RJ, Forsbach-Sánchez G
Language: Spanish
References: 10
Page: 105-107
PDF size: 180.13 Kb.
ABSTRACT
This case report of a 5 years old child with unrecognized Graves disease associated to tachycardia, paroxistic supraventricular tachycardia (PST) and diffuse toxic goitter. The patient had no family history, was first evaluated due to acute respiratory symptoms and detected tachycardia confirmed by EKG and Holter, and found a 4 minute episode of PST and isolated ventricular extrasystole. The thyroidal hormones and gammagraphy reported a hyperthyroidism diffuse toxic goitter. The tachyarritmia diminished using propranolol and metimazol and PST was no longer present after 4 months treatment.
REFERENCES
Forfar JC, Caldwell GC. Hyperthyroid heart disease. Clin Endocrinol Metab. 1985; 14: 491-508.
Fadel BM, Ellahham S, Ringel MD, Lindsay J, Wartofsky L, Burman KD. Hyperthyroid heart disease. Clin Cardiol. 2000; 23: 402-408.
Takasu N. Thyroid hormone and the cardiovascular system. Nippon Rinsho. 2006; 64: 2330-2338.
Garibay-Nieto N, García Morales L, Rivero-Escalante H, Dorantes-Álvarez LM. Hipertiroidismo en la edad pediátrica. Con especial énfasis en la enfermedad de Graves. Bol Med Hosp Infant Mex. 2000; 57(6): 351-362.
Virrey G, Cheetham T. Juvenile thyrotoxicosis; can we do better? Arch Dis Child. 2004; 89: 745-750.
Lippe BM, Landaw EM, Kaplan SA. Hyperthiroidism in children treated with long term medical therapy: twenty-five percent remission every two years. J Clin Endocrinol Metab. 1987; 64: 1241-1245.
Kolawole BA, Balogun MO. Thyrotoxicosis and the heart -a review of the literature. Niger J Med. 2001; 10: 50-54.
Roffi M, Cattaneo F, Brandle M. thyrotoxicosis and the cardiovascular system. Minerva Endocrinol. 2005; 30: 47-58.
Caló L, De Ruvo E, Sette A, Sciarra L, Scioli R, Sebastian F et al. Tachycardia-induced cardiomyopathy: mechanisms of heart failure and clinical implications. J Cardiovasc Med (Hagerstown). 2007; 8: 138-143.
Weissel M. Hyperthyroidism and heart. Wien Klin Wochenschr. 2001; 113: 157-161.