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10.1136/bcr.12.2011.5306 http://scihub22266oqcxt.onion/10.1136/bcr.12.2011.5306 22987900!3534300!22987900     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       BMJ+Case+Rep 2012 ; 2012 (ä): ä Nephropedia Template TP {{tp|p=22987900|t=2012. Severe primary hypothyroidism presenting with torsades de pointes |pdf=|usr=}}{{22987900}} gab.com Text Severe primary hypothyroidism presenting with torsades de pointes JO: BMJ Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=22987900 #FOAvip An 85-year-old lady presented to our institution following multiple episodes of transient loss of consciousness. Her admission ECG revealed a junctional bradycardia with significant QT prolongation. Telemetry captured a torsades de pointes arrhythmia. Possible offending drugs (digoxin and hydroxychloroquine) were stopped and she was given intravenous magnesium and potassium. Despite this, she continued to have runs of torsades. An isoprenaline infusion was commenced to increase her resting heart rate. Her QT interval shortened and she had no further arrhythmia. Investigation into the cause of her bradycardia and prolonged QT revealed profound hypothyroidism. Levothyroxine was commenced but the patient remained bradycardia and required a permanent pacemaker. She had no further arrhythmia and was discharged home safely. This is a very rare case of severe primary hypothyroidism presenting with torsades de pointes. Twit Text FOAVip Severe primary hypothyroidism presenting with torsades de pointes ????BMJ Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=22987900 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=22987900 #FOAvip English Wikipedia <ref>{{Cite pmid|22987900}}</ref> Severe primary hypothyroidism presenting with torsades de pointes #MMPMID22987900 Kandan SR; Saha M BMJ Case Rep 2012[Sep]; 2012 (ä): ä PMID22987900show ga An 85-year-old lady presented to our institution following multiple episodes of transient loss of consciousness. Her admission ECG revealed a junctional bradycardia with significant QT prolongation. Telemetry captured a torsades de pointes arrhythmia. Possible offending drugs (digoxin and hydroxychloroquine) were stopped and she was given intravenous magnesium and potassium. Despite this, she continued to have runs of torsades. An isoprenaline infusion was commenced to increase her resting heart rate. Her QT interval shortened and she had no further arrhythmia. Investigation into the cause of her bradycardia and prolonged QT revealed profound hypothyroidism. Levothyroxine was commenced but the patient remained bradycardia and required a permanent pacemaker. She had no further arrhythmia and was discharged home safely. This is a very rare case of severe primary hypothyroidism presenting with torsades de pointes. |Acute Disease[MESH] |Aged, 80 and over[MESH] |Diagnosis, Differential[MESH] |Electrocardiography[MESH] |Female[MESH] |Heart/physiopathology[MESH] |Humans[MESH] |Hypothyroidism/*complications/diagnosis/drug therapy[MESH] |Thyroxine/therapeutic use[MESH]Severe primary hypothyroidism presenting with torsades de pointes (epmc).pdf DeepDyve Pubget Overpricing