Hyperthyroidism with dome-and-dart T wave: A case report: A care-compliant article
Ping Lai1, Jing-Ling Yuan, Jin-Hua Xue
1Gannan Medical University, Ganzhou Department of Pathophysiology, School of Basic Medical Sciences, Southern Medical University, Guangzhou Department of Physiology, School of Basic Medical Sciences, Gannan Medical University Department of Cardiology, Ganzhou Cardiology Center, Society for Cardiovascular Internal Medicine, Emergency Medicine, the First Affiliated Hospital of Gannan Medical University, Ganzhou, China.
Rationale:
Dome-and-dart T waves (or bifid T waves) are a rare phenomenon in the surface electrocardiogram. These wave forms are mainly observed in patients with congenital heart disease such as atrial septal defect and ventricular septal defect. And hyperthyroidism who presented with an electrocardiogram that had dome-and-dart T waves in a precordial lead is never been reported.
Patient Concerns:
The patient presented with continuous tachycardia, palpitations, chest tightness, and headache for 4 days, and aggravated for 1 day.
Diagnoses:
Hyperthyroidism.
Interventions:
Methimazole.
Outcomes:
All symptoms were alleviated.
Lessons:
Dome-and-dart or bifid T waves have been reported in the conventional 12-lead electrocardiograms in some patients with congenital heart disease. The case illustrated here, to the best of our knowledge, dome-and-dart or bifid T waves may associate with hyperthyroidism patients.
More Related Videos
Related Concept Videos
Increased pulse rate
Many factors can elevate the risk of developing tachycardia. These include advanced age, a family history of arrhythmias, and an...
Dysrhythmias II: Classification of Tachyarrhythmias
Hyperthyroidism I: Introduction
Hyperthyroidism II: Pathophysiology
Graves' Disease I: Introduction
Graves Disease II: Pathophysiology


