Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case Report

We report a case of a male patient with stroke caused by atrial fibrillation (AF) due to thyrotoxicosis. At hospital admission, he presented hypertension and AF. Magnetic resonance imaging confirmed a right-side ischemic area. The thyrotoxicosis was confirmed by thyroid function and thyroid scintigr...

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Autores principales: Bazan, Rodrigo, Fernandes, Thiago Dias, Ferreira da Silva Mazeto, Gláucia Maria, Marques, Mariângela Esther Alencar, Braga, Gabriel Pereira, Luvizutto, Gustavo José, Zanati Bazan, Silméia Garcia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5731184/
https://www.ncbi.nlm.nih.gov/pubmed/29279710
http://dx.doi.org/10.1159/000479730
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author Bazan, Rodrigo
Fernandes, Thiago Dias
Ferreira da Silva Mazeto, Gláucia Maria
Marques, Mariângela Esther Alencar
Braga, Gabriel Pereira
Luvizutto, Gustavo José
Zanati Bazan, Silméia Garcia
author_facet Bazan, Rodrigo
Fernandes, Thiago Dias
Ferreira da Silva Mazeto, Gláucia Maria
Marques, Mariângela Esther Alencar
Braga, Gabriel Pereira
Luvizutto, Gustavo José
Zanati Bazan, Silméia Garcia
author_sort Bazan, Rodrigo
collection PubMed
description We report a case of a male patient with stroke caused by atrial fibrillation (AF) due to thyrotoxicosis. At hospital admission, he presented hypertension and AF. Magnetic resonance imaging confirmed a right-side ischemic area. The thyrotoxicosis was confirmed by thyroid function and thyroid scintigraphy that showed goiter with diffuse hypercaptation. The patient was treated with tapazole and total thyroidectomy, and pathological findings suggested Graves' disease. Hyperthyroidism is associated with increased supraventricular ectopic activity in patients with a normal heart, and may be an important causal link between hyperthyroidism and AF. The patient experienced significant clinical improvement, but presented long-term neuropsychiatric disorders.
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spelling pubmed-57311842017-12-26 Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case Report Bazan, Rodrigo Fernandes, Thiago Dias Ferreira da Silva Mazeto, Gláucia Maria Marques, Mariângela Esther Alencar Braga, Gabriel Pereira Luvizutto, Gustavo José Zanati Bazan, Silméia Garcia Case Rep Neurol Case Report We report a case of a male patient with stroke caused by atrial fibrillation (AF) due to thyrotoxicosis. At hospital admission, he presented hypertension and AF. Magnetic resonance imaging confirmed a right-side ischemic area. The thyrotoxicosis was confirmed by thyroid function and thyroid scintigraphy that showed goiter with diffuse hypercaptation. The patient was treated with tapazole and total thyroidectomy, and pathological findings suggested Graves' disease. Hyperthyroidism is associated with increased supraventricular ectopic activity in patients with a normal heart, and may be an important causal link between hyperthyroidism and AF. The patient experienced significant clinical improvement, but presented long-term neuropsychiatric disorders. S. Karger AG 2017-10-16 /pmc/articles/PMC5731184/ /pubmed/29279710 http://dx.doi.org/10.1159/000479730 Text en Copyright © 2017 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Case Report
Bazan, Rodrigo
Fernandes, Thiago Dias
Ferreira da Silva Mazeto, Gláucia Maria
Marques, Mariângela Esther Alencar
Braga, Gabriel Pereira
Luvizutto, Gustavo José
Zanati Bazan, Silméia Garcia
Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case Report
title Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case Report
title_full Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case Report
title_fullStr Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case Report
title_full_unstemmed Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case Report
title_short Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case Report
title_sort stroke in a young man secondary to paroxysmal atrial fibrillation and thyrotoxicosis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5731184/
https://www.ncbi.nlm.nih.gov/pubmed/29279710
http://dx.doi.org/10.1159/000479730
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