Stress cardiomyopathy (Takotsubo) following radioactive iodine therapy
[摘要] A 55-year-old female patient presented to the endocrine clinic with Grave’s disease. She was initially treated withcarbimazole. After an early relapse, a decision was made to proceed with radioactive iodine therapy. Four days afterradioiodine administration, she presented to the emergency department with chest tightness and dyspnea due to heartfailure. Biochemistry revealed thyrotoxicosis and significantly elevated Troponin-T. There was ST segment elevation onelectrocardiography. However, coronary angiography was normal. Ventricular function was fully restored after 6 weeksof supportive medical management. A diagnosis of stress cardiomyopathy following radioactive iodine therapy was made.This is the second case reported in the literature so far to the best of our knowledge.
[发布日期] [发布机构]
[效力级别] [学科分类] 血液学
[关键词] Adult;Female;White;United Kingdom;Heart;Thyroid;Thyroid;TSH;Thyroxine (T4);Graves' disease;Takotsubo cardiomyopathy;Thyrotoxicosis;Hyperthyroidism;Thyroiditis;Goitre (multinodular);Heart failure;Tachycardia;Sweating;Lips - dry;Dyspnoea;Angiography;Electrocardiogram;Echocardiogram;TSH;Thyroid function;FT4;FT3;Troponin;Chest auscultation;Radionuclide therapy;Radioiodine;Carbimazole;Prednisolone;Glucocorticoids;Ramipril;Carvedilol;Alpha-blockers;Propylthiouracil;Levothyroxine;Cardiology;Unusual effects of medical treatment;August;2015 [时效性]
