在慢性中毒和控制不良的甲状腺功能低下的情况下,严重的鼻功能障碍
Carlos M Ardila1, Alejandro López-Valencia2, Daniel González-Arroyave3
1Basic Sciences, University of Antioquia, Medellin, COL.
Cureus
|April 1, 2024
概括
中毒可以导致危及生命的心脏问题,如严重的胸肌梗塞. 这一案例表明,包括脏支持在内的及时治疗可以完全逆转由引起的严重心脏功能障碍,避免永久性设备.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 临床毒理学 临床毒理学
背景情况:
- 是一种情绪稳定剂,很少会引起心脏毒性.
- 症状包括导电阻塞,QT延长和心律失常.
研究的目的:
- 报告严重的鼻功能障碍和由于毒性的心脏性休克病例.
- 为了说明这种罕见疾病的诊断结果和治疗方法.
- 为了强调认识到对心脏的影响的重要性.
主要方法:
- 一个患有心脏功能障碍症状的患者的病例报告.
- 实验室分析显示和甲状腺刺激激素 (TSH) 水平升高.
- 重症监护病房监测和支持性治疗,包括置换疗法.
主要成果:
- 患者表现出极端的鼻肌梗塞 (30bpm) 和鼻暂停.
- 同时的急性损伤网络 (AKIN) II 诊断出急性损伤.
- 支持性护理和脏替代疗法导致了完全的血液动力学恢复.
结论:
- 毒性可以导致严重的心脏导电异常和心脏性休克.
- 及时识别和支持性管理,包括脏支持,可以导致完全康复.
- 这一案例强调了可能引起的可逆心脏毒性,即使在严重的表现中也是如此.
相关概念视频
Mania and Antimanic Drugs: Overview
176
Mania, a psychological condition characterized by elevated mood, increased energy, and reduced sleep need, is part of the bipolar disorder cycle. The exact cause of mania isn't entirely known, but it is thought to be a combination of genetic, environmental, and neurological factors. Bipolar disorder involves alternating manic and depressive episodes. Mood stabilizers like lithium, antipsychotics, and anticonvulsants help manage these episodes. Lithium carbonate is particularly effective as...
176
ECG Interpretation of Arrhythmias I: Sinus Arrhythmias
213
Arrhythmias are disturbances in the heart's rhythm that lead to abnormal heartbeats. These irregularities can originate from different parts of the heart and are classified based on their origin and nature.
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
213
Long-term Depression
30.8K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
30.8K
Chronic Pharyngitis
2.0K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
2.0K
Heart Failure Drugs: Inotropic Agents
578
Positive inotropic agents are commonly used as the first line of treatment for heart failure. One such agent is digoxin, derived from the genus Digitalis, which has been known for centuries but effectively utilized since 1785. However, these cardiac glycosides can have potentially toxic effects due to their mechanism of action, which involves inhibiting Na+/K+-ATPase and increasing contractility. Digoxin is absorbed orally and distributed in various tissues, including the CNS. It has a long...
578
Synthesis and Regulation of Thyroid Hormones
4.6K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
4.6K


