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

<p>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.</p><p>We hypothesized the Bezold-Jarisch refl ex as the mechanism which leads to bradyc...

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Main Authors: Caterina Chiara De Carlini (Author), Ester Meles (Author), Roberto Galbiati (Author), Marco Di Sabato (Author), Gaetano Gentile (Author), Andrea Farina (Author), Stefano Maggiolini (Author)
Format: Book
Published: Journal of Cardiovascular Medicine and Cardiology - Peertechz Publications, 2017-03-16.
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Summary:<p>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.</p><p>We hypothesized the Bezold-Jarisch refl ex as the mechanism which leads to bradycardia and hypotension with syncope related to prolonged tachycardia.</p><p>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.</p>
DOI:10.17352/2455-2976.000038