Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case Report
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2017 |
| Outros Autores: | , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da UNESP |
| Texto Completo: | http://dx.doi.org/10.1159/000479730 http://hdl.handle.net/11449/164423 |
Resumo: | 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 hyperthy- roidism and AF. The patient experienced significant clinical improvement, but presented long-term neuropsychiatric disorders. (C) 2017 The Author(s) Published by S. Karger AG, Basel |
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Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case ReportStrokeAtrial fibrillationThyrotoxicosisTotal thyroidectomyWe 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 hyperthy- roidism and AF. The patient experienced significant clinical improvement, but presented long-term neuropsychiatric disorders. (C) 2017 The Author(s) Published by S. Karger AG, BaselUniv Estadual Paulista, Botucatu Sch Med, Dept Neurol Psychol & Psychiat, Sao Paulo, BrazilUniv Estadual Paulista, Botucatu Sch Med, Dept Internal Med, Sao Paulo, BrazilUniv Estadual Paulista, Botucatu Sch Med, Dept Pathol, Sao Paulo, BrazilUniv Fed Triangulo Mineiro, Inst Hlth Sci, Dept Appl Phys Therapy, Casa Terra,Rua Capitao Domingos 309, BR-38025010 Uberaba, MG, BrazilUniv Estadual Paulista, Botucatu Sch Med, Dept Neurol Psychol & Psychiat, Sao Paulo, BrazilUniv Estadual Paulista, Botucatu Sch Med, Dept Internal Med, Sao Paulo, BrazilUniv Estadual Paulista, Botucatu Sch Med, Dept Pathol, Sao Paulo, BrazilKargerUniversidade Estadual Paulista (Unesp)Univ Fed Triangulo MineiroBazan, Rodrigo [UNESP]Fernandes, Thiago Dias [UNESP]Ferreira da Silva Mazeto, Glaucia Maria [UNESP]Alencar Marques, Mariangela Esther [UNESP]Braga, Gabriel Pereira [UNESP]Luvizutto, Gustavo JoseZanati Bazan, Silmeia Garcia [UNESP]2018-11-26T17:54:29Z2018-11-26T17:54:29Z2017-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article228-233application/pdfhttp://dx.doi.org/10.1159/000479730Case Reports In Neurology. Basel: Karger, v. 9, n. 3, p. 228-233, 2017.1662-680Xhttp://hdl.handle.net/11449/16442310.1159/000479730WOS:000438559100002WOS000438559100002.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengCase Reports In Neurologyinfo:eu-repo/semantics/openAccess2024-09-03T13:18:13Zoai:repositorio.unesp.br:11449/164423Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestrepositoriounesp@unesp.bropendoar:29462024-09-03T13:18:13Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
| dc.title.none.fl_str_mv |
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 |
| spellingShingle |
Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case Report Bazan, Rodrigo [UNESP] Stroke Atrial fibrillation Thyrotoxicosis Total thyroidectomy |
| title_short |
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_sort |
Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case Report |
| author |
Bazan, Rodrigo [UNESP] |
| author_facet |
Bazan, Rodrigo [UNESP] Fernandes, Thiago Dias [UNESP] Ferreira da Silva Mazeto, Glaucia Maria [UNESP] Alencar Marques, Mariangela Esther [UNESP] Braga, Gabriel Pereira [UNESP] Luvizutto, Gustavo Jose Zanati Bazan, Silmeia Garcia [UNESP] |
| author_role |
author |
| author2 |
Fernandes, Thiago Dias [UNESP] Ferreira da Silva Mazeto, Glaucia Maria [UNESP] Alencar Marques, Mariangela Esther [UNESP] Braga, Gabriel Pereira [UNESP] Luvizutto, Gustavo Jose Zanati Bazan, Silmeia Garcia [UNESP] |
| author2_role |
author author author author author author |
| dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Univ Fed Triangulo Mineiro |
| dc.contributor.author.fl_str_mv |
Bazan, Rodrigo [UNESP] Fernandes, Thiago Dias [UNESP] Ferreira da Silva Mazeto, Glaucia Maria [UNESP] Alencar Marques, Mariangela Esther [UNESP] Braga, Gabriel Pereira [UNESP] Luvizutto, Gustavo Jose Zanati Bazan, Silmeia Garcia [UNESP] |
| dc.subject.por.fl_str_mv |
Stroke Atrial fibrillation Thyrotoxicosis Total thyroidectomy |
| topic |
Stroke Atrial fibrillation Thyrotoxicosis Total thyroidectomy |
| 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 hyperthy- roidism and AF. The patient experienced significant clinical improvement, but presented long-term neuropsychiatric disorders. (C) 2017 The Author(s) Published by S. Karger AG, Basel |
| publishDate |
2017 |
| dc.date.none.fl_str_mv |
2017-01-01 2018-11-26T17:54:29Z 2018-11-26T17:54:29Z |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1159/000479730 Case Reports In Neurology. Basel: Karger, v. 9, n. 3, p. 228-233, 2017. 1662-680X http://hdl.handle.net/11449/164423 10.1159/000479730 WOS:000438559100002 WOS000438559100002.pdf |
| url |
http://dx.doi.org/10.1159/000479730 http://hdl.handle.net/11449/164423 |
| identifier_str_mv |
Case Reports In Neurology. Basel: Karger, v. 9, n. 3, p. 228-233, 2017. 1662-680X 10.1159/000479730 WOS:000438559100002 WOS000438559100002.pdf |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
Case Reports In Neurology |
| dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
228-233 application/pdf |
| dc.publisher.none.fl_str_mv |
Karger |
| publisher.none.fl_str_mv |
Karger |
| dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
| instname_str |
Universidade Estadual Paulista (UNESP) |
| instacron_str |
UNESP |
| institution |
UNESP |
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Repositório Institucional da UNESP |
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Repositório Institucional da UNESP |
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Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
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repositoriounesp@unesp.br |
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1810021404841607168 |