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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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
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author 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
author_facet 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
author_sort Kishida, Chiaki
collection PubMed
description 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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spelling pubmed-60479922018-07-17 Heart Failure with Hyperthyroidism Demonstrating Discrepancy between the Clinical Course and B-type Natriuretic Peptide Levels 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 Intern Med Case Report 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. The Japanese Society of Internal Medicine 2018-02-09 2018-06-15 /pmc/articles/PMC6047992/ /pubmed/29434126 http://dx.doi.org/10.2169/internalmedicine.0118-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
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
Heart Failure with Hyperthyroidism Demonstrating Discrepancy between the Clinical Course and B-type Natriuretic Peptide Levels
title Heart Failure with Hyperthyroidism Demonstrating Discrepancy between the Clinical Course and B-type Natriuretic Peptide Levels
title_full Heart Failure with Hyperthyroidism Demonstrating Discrepancy between the Clinical Course and B-type Natriuretic Peptide Levels
title_fullStr Heart Failure with Hyperthyroidism Demonstrating Discrepancy between the Clinical Course and B-type Natriuretic Peptide Levels
title_full_unstemmed Heart Failure with Hyperthyroidism Demonstrating Discrepancy between the Clinical Course and B-type Natriuretic Peptide Levels
title_short Heart Failure with Hyperthyroidism Demonstrating Discrepancy between the Clinical Course and B-type Natriuretic Peptide Levels
title_sort heart failure with hyperthyroidism demonstrating discrepancy between the clinical course and b-type natriuretic peptide levels
topic Case Report
url 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
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