VENTRICULAR STANDSTILL IN YOUNG MALE A RARE PRESENTATION OF GRAVES’ DISEASE A CHALLENGING DIAGNOSIS AND TREATMENT
Main Article Content
Keywords
Abstract
Graves’ disease is an autoimmune disorder accounts for 80% hyperthyroidism, predominantly in females. Its association with cardiac arrhythmias such as atrial fibrillation, sinus tachycardia and supraventricular tachycardia DCM is well established. We report the case of 16 year old male with GD and rare cardiac complication Ventricular standstill or higher degree AVB that reports only less than 35 cases in entire literature make it unique, interesting and challenging case for diagnosis and management.
References
1. Khaled Elmezughi, Wariabo Makgoba, Omololu Makolomakwa, et al. Graves’ disease presenting with complete heart block in a South African lady from Mthatha: a case report. PAMJ Clin Med. 2020;3(122). doi:10.11604/pamj-cm.2020.3.122.24533.
2. Bhattad P, Yukselen Z, Filiberti A. Atrioventricular Block: An Unusual Presentation of Overactive Thyroid. Cureus. 2023 Feb 18;15(2). doi:10.7759/cureus.35141.
3. Loganathan N, Maheswari S, Tamilarasu K, Rajendiran G. Reversible cause of complete heart block: An unusual presentation of thyrotoxicosis. Egypt J Intern Med. 2016 Mar;28:28-9.
4. Ata F. Atrioventricular block in patients with hyperthyroidism: a narrative review. J Int Med Res. 2024 Jan;52(1).
5. Ertek S, Cicero AF. Hyperthyroidism and cardiovascular complications: a narrative review on the basis of pathophysiology. Arch Med Sci. 2013 Nov 26;9(5):944-52. doi:10.5114/aoms.2013.39702.
6. Ata F, Khan AA, Yousaf Z, et al. The clinical characteristics and outcomes of patients with pulmonary hypertension in association with hyperthyroid state: a systematic review. Medicine (Baltimore). 2022 Jul 2;101. doi:10.1097/MD.0000000000029832.
7. Kuo YC, Tseng YT, Lee TI, et al. Chronic bifascicular block with intermittent complete atrioventricular block induced by hyperthyroidism. Int J Cardiol. 2006 Nov 23;110(3):407-10. doi:10.1016/j.ijcard.2005.08.063.
8. Khan MZ, Qureshi F, Mahfooz F, et al. Grave danger: rare case of complete heart block secondary to Graves disease. J Am Coll Cardiol. 2022;79(9):2512.
9. Táborský M, Kautzner J. Summary of the 2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy: Prepared by the Czech Society of Cardiology. Cor Vasa. 2014;56(3). doi:10.1016/j.crvasa.2014.05.002.
10. Sampana AG, Jasul GV Jr. High grade AV block complicating hyperthyroidism: a case report. Philipp J Intern Med. 2010;48:38-40.
11. Atri SK, Chugh SN, Goyal S, et al. Reversible atrioventricular blocks in thyroid storm. J Assoc Physicians India. 2011;59:178-9.
12. Zeltser D, Justo D, Halkin A, et al. Drug-induced atrioventricular block: prognosis after discontinuation of the culprit drug. J Am Coll Cardiol. 2004;44(1):105-8. doi:10.1016/j.jacc.2004.03.047.
13. Meles E. Sinoatrial blocks in hyperthyroidism associated with syncope, treated with beta-blockers. A case of paradoxical treatment. G Ital Cardiol (Rome). 2011;1:56S-57S.
14. Širanec M, Magage S, Válek M, et al. Third degree atrioventricular block as a rare complication of Graves’ thyrotoxicosis. Cor Vasa. 2019;61(5). doi:10.1016/j.crvasa.2019.06.001.
15. Bahn RS, Burch HB, Cooper DS, et al. Hyperthyroidism and other causes of thyrotoxicosis: management guidelines of the American Thyroid Association and American Association of Clinical Endocrinologists. Endocr Pract. 2011;17(3):456-520. doi:10.4158/ep.17.3.456.
2. Bhattad P, Yukselen Z, Filiberti A. Atrioventricular Block: An Unusual Presentation of Overactive Thyroid. Cureus. 2023 Feb 18;15(2). doi:10.7759/cureus.35141.
3. Loganathan N, Maheswari S, Tamilarasu K, Rajendiran G. Reversible cause of complete heart block: An unusual presentation of thyrotoxicosis. Egypt J Intern Med. 2016 Mar;28:28-9.
4. Ata F. Atrioventricular block in patients with hyperthyroidism: a narrative review. J Int Med Res. 2024 Jan;52(1).
5. Ertek S, Cicero AF. Hyperthyroidism and cardiovascular complications: a narrative review on the basis of pathophysiology. Arch Med Sci. 2013 Nov 26;9(5):944-52. doi:10.5114/aoms.2013.39702.
6. Ata F, Khan AA, Yousaf Z, et al. The clinical characteristics and outcomes of patients with pulmonary hypertension in association with hyperthyroid state: a systematic review. Medicine (Baltimore). 2022 Jul 2;101. doi:10.1097/MD.0000000000029832.
7. Kuo YC, Tseng YT, Lee TI, et al. Chronic bifascicular block with intermittent complete atrioventricular block induced by hyperthyroidism. Int J Cardiol. 2006 Nov 23;110(3):407-10. doi:10.1016/j.ijcard.2005.08.063.
8. Khan MZ, Qureshi F, Mahfooz F, et al. Grave danger: rare case of complete heart block secondary to Graves disease. J Am Coll Cardiol. 2022;79(9):2512.
9. Táborský M, Kautzner J. Summary of the 2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy: Prepared by the Czech Society of Cardiology. Cor Vasa. 2014;56(3). doi:10.1016/j.crvasa.2014.05.002.
10. Sampana AG, Jasul GV Jr. High grade AV block complicating hyperthyroidism: a case report. Philipp J Intern Med. 2010;48:38-40.
11. Atri SK, Chugh SN, Goyal S, et al. Reversible atrioventricular blocks in thyroid storm. J Assoc Physicians India. 2011;59:178-9.
12. Zeltser D, Justo D, Halkin A, et al. Drug-induced atrioventricular block: prognosis after discontinuation of the culprit drug. J Am Coll Cardiol. 2004;44(1):105-8. doi:10.1016/j.jacc.2004.03.047.
13. Meles E. Sinoatrial blocks in hyperthyroidism associated with syncope, treated with beta-blockers. A case of paradoxical treatment. G Ital Cardiol (Rome). 2011;1:56S-57S.
14. Širanec M, Magage S, Válek M, et al. Third degree atrioventricular block as a rare complication of Graves’ thyrotoxicosis. Cor Vasa. 2019;61(5). doi:10.1016/j.crvasa.2019.06.001.
15. Bahn RS, Burch HB, Cooper DS, et al. Hyperthyroidism and other causes of thyrotoxicosis: management guidelines of the American Thyroid Association and American Association of Clinical Endocrinologists. Endocr Pract. 2011;17(3):456-520. doi:10.4158/ep.17.3.456.
Article Sidebar
Published
Sep 17, 2024
Article Details
How to Cite
Rana Kashif Riaz, Dr Aatika Habib, & Hafsa Khalil. (2024). VENTRICULAR STANDSTILL IN YOUNG MALE A RARE PRESENTATION OF GRAVES’ DISEASE A CHALLENGING DIAGNOSIS AND TREATMENT. Journal of Population Therapeutics and Clinical Pharmacology, 31(9), 1203-1208. https://doi.org/10.53555/xh4a9h72
Section
Articles
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Author Biographies
Rana Kashif Riaz
Cardiology Specialty Registrar, St Thomas Hospital London UK
Dr Aatika Habib
Cardiology Specialty Registrar, St Thomas Hospital London UK
Hafsa Khalil
Armed Forces Institute of Cardiology, Rawalpindi
How to Cite
Rana Kashif Riaz, Dr Aatika Habib, & Hafsa Khalil. (2024). VENTRICULAR STANDSTILL IN YOUNG MALE A RARE PRESENTATION OF GRAVES’ DISEASE A CHALLENGING DIAGNOSIS AND TREATMENT. Journal of Population Therapeutics and Clinical Pharmacology, 31(9), 1203-1208. https://doi.org/10.53555/xh4a9h72