Ventricular fibrillation associated with early repolarization in a patient with thyroid storm
Akira Ueno1, Takeshi Yamamoto, Naoki Sato
1Intensive and Cardiac Care Unit, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 1138603, Japan. s4013@nms.ac.jp
Abstract:
We present a case of a 69-year-old male who was hospitalized for the treatment of thyroid storm due to Grave's disease, who presented with unexpected ventricular fibrillation (VF). The possible etiology was early repolarization (ER), characterized by J-point elevation in inferior and posterolateral leads, unmasked by the attenuation of beta-adrenergic effect with normalization of thyroid hormones and following the administration of a beta-blocker. Our case focuses attention on the occurrence of VF in a patient with ER during the treatment of hyperthyroidism, which to our knowledge is the first such report.
Related Concept Videos
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
Dysrhythmias II: Classification of Tachyarrhythmias
Dysrhythmias III: Characteristics of Dysrhythmias
Disturbances in Heart Rhythm
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
Hyperthyroidism II: Pathophysiology
Dysrhythmias IV: Characteristics of Bradyarrhythmias


