Internal medicine (Tokyo, Japan) · 2018
Heart Failure with Hyperthyroidism Demonstrating Discrepancy between the Clinical Course and B-type Natriuretic Peptide Levels.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Kishida Chiaki, Naito Ryo, Kasuya Hiroki, Kaneko Tomohiro, Yabe Kosuke, Kakihara Midori, Shimai Ryosuke, Isogai Hiroyuki, Ozaki Dai, Yasuda Yuki, Odagiri Fuminori, Miyazaki Tetsuro, Yokoyama Ken, Tokano Takashi, Koyano Hajime, Nakazato Yuji
Аннотация
A 35-year-old Japanese man was emergently admitted to our hospital with chief complaints of palpitation and dyspnea. He has been treated for Basedow's disease. He was diagnosed with acute decompensated heart failure, atrial fibrillation and thyrotoxicosis. We started anti-thyroid agents and a treatment for heart failure with beta blockers and diuretics under anti-coagulation therapy. His B-type natriuretic peptide levels remained high, although the heart failure had been compensated and the heart rate was well controlled while hyperthyroidism still existed. We should bear in mind that a discrepancy can exist between the clinical course and the B-type natriuretic peptide level in heart failure patients complicated with hyperthyroidism.