Heart Failure with Hyperthyroidism Demonstrating Discrepancy between the Clinical Course and B-type Natriuretic Peptide Levels

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 t...

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Detalles Bibliográficos
Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6047992/
https://www.ncbi.nlm.nih.gov/pubmed/29434126
http://dx.doi.org/10.2169/internalmedicine.0118-17
Descripción
Sumario: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.

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