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Hyperthyroidism and complete atrioventricular block--a report of 2 cases with electrophysiologic assessment
Serkan Topaloglu1, Oya Yanik Topaloglu, Ozcan Ozdemir
1Turkiye Yüksek Ihtisas Hospital, Cardiology Clinics, Ankara, Turkey. s.topaloglu@ttnet.net.tr
Insights
Cardiovascular issues are common in thyroid disorders, but atrioventricular (AV) block is rare in hyperthyroidism. This study presents two cases of complete AV block in patients with thyroid dysfunction, exploring potential mechanisms.
Area of Science:
- Cardiology
- Endocrinology
- Electrophysiology
Background:
- Cardiovascular manifestations are frequent in thyroid disorders.
- Atrioventricular (AV) conduction disorders are considered rare complications, particularly in hyperthyroidism.
Observation:
- The authors present two cases of thyroid dysfunction associated with complete AV block.
- Electrophysiologic characteristics of these patients were analyzed.
Findings:
- The exact mechanism linking hyperthyroidism and AV block remains elusive.
- Review and speculation on similar reported cases are provided.
Implications:
- Understanding the link between thyroid disorders and AV block can improve clinical diagnosis.
- Further research into the electrophysiologic mechanisms is warranted.
Abstract:
Although cardiovascular manifestations in thyroid disorders are frequently encountered in clinical practice, atrioventricular (AV) conduction disorders, especially in hyperthyroidism, are rare. There are some proposed mechanisms for AV blocks in hyperthyroidism but the exact mechanism is still unknown. The authors report 2 cases with thyroid function disorders and complete AV block, and the electrophysiologic characteristics of these 2 patients, and they review and speculate on similar reported cases.
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