Journals / Medeniyet Medical Journal / 2022 / Cilt: 37 - Sayı: 1

Invasive Heart Rate Control as a Salvage Therapy in Amiodarone-induced Thyroid Storm

Amiodaron Kaynaklı Tiroid Fırtınasında Kurtarma Tedavisi Olarak İnvaziv Kalp Hızı Kontrolü

Pages
119–122
Publication Date
2022-10-19
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Herein, we aimed to present atrioventricular node ablation as a salvage therapy in a patient with AIT who had AF-causing hemodynamic impairment, resistance to medical therapy, and cardioversion.

📌 3 Key Takeaways

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Objective & Hypothesis:Atrial fibrillation (AF) is the most common arrhythmia, and amiodarone is one of the most commonly used drugs for medical cardioversion of AF, which should be used carefully due to its toxic effects.
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Key Findings & Data:Amiodarone- induced thyrotoxicosis (AIT) may develop in amiodarone-treated patients.
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Conclusion & Impact:Herein, we aimed to present atrioventricular node ablation as a salvage therapy in a patient with AIT who had AF-causing hemodynamic impairment, resistance to medical therapy, and cardioversion.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Atrial fibrillation (AF) is the most common arrhythmia, and amiodarone is one of the most commonly used drugs for medical cardioversion of AF, which should be used carefully due to its toxic effects. Amiodarone- induced thyrotoxicosis (AIT) may develop in amiodarone-treated patients. In contrast, the most common rhythm disturbance accompanying a thyroid storm is AF. This association may put both AF and thyrotoxicosis treatment into a vicious circle, leading to AI cardiomyopathy. Herein, we aimed to present atrioventricular node ablation as a salvage therapy in a patient with AIT who had AF-causing hemodynamic impairment, resistance to medical therapy, and cardioversion.

Özet

Atriyal fibrilasyon (AF) en sık görülen aritmidir ve amiodaron, AF'nin medikal kardiyoversiyonunda en sık kullanılan ve toksik etkileri nedeniyle dikkatli kullanılması gereken ilaçlardan biridir. Amiodaron ile tedavi edilen hastalarda amiodaron ile indüklenen tirotoksikoz (AİT) gelişebilir. Buna karşılık, bir tiroid fırtınasına eşlik eden en yaygın ritim bozukluğu AF'dir. Bu ilişki hem AF hem de tirotoksikoz tedavisini kısır bir döngüye sokabilir ve aritmi kaynaklı kardiyomiyopatiye yol açabilir. Burada hemodinamik bozukluğa neden olan, medikal tedaviye ve kardiyoversiyona dirençli AF’si olan bir AİT hastasında kurtarma tedavisi olarak atriyoventriküler düğüm ablasyonunu sunmayı amaçladık.

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Cite This Article

TURAN, O. E., OZCAN, E. E., DOGDUS, M., YILANCIOGLU, R. Y., ADIYAMAN, S. C. (2022). Invasive Heart Rate Control as a Salvage Therapy in Amiodarone-induced Thyroid Storm. Medeniyet Medical Journal, Cilt: 37 - Sayı: 1, 119–122. https://ajindex.com/articles/579125

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