갑상선기능항진증에 병발된 완전방실차단과 심정지 1예 = A Case of Hyperthyroidism with Complete Atrioventricular Block and Cardiac Arrest

다국어 초록 (Multilingual Abstract)

The cardiovascular manifestations of hyperthyroidism are sinus tachycardia, paroxysmal supraventricular tachycardia, atrial fibrillation, atrial flutter, atrioventricular block, bundle branch block, angina pectoris, heart failure, and cardiomyopathy. Though complete atrioventricular block is rare, it is important to recognize it in clinical practice because of the possibility of cardiac arrest. We experienced a 47-year-old female patient who had hyperthyroidism with complete atrioventricular block and developed cardiac arrest despite the initiation of an antithyroid drug. We could resuscitate successfully and inserted a temporary pacemaker, but eventually a permanent pacemaker was needed to prevent the recurrence of cardiac arrest. We report a rare case of complete atrioventricular block and cardiac arrest associated with hyperthyroidism with the review of references. (J Kor Soc Endocrinol 21:233~238, 2006)

국문 초록 (Abstract)

갑상선기능항진증과 연관된 심혈관계 증상은 자주 발견되는데, 동성빈맥, 심방세동, 1도방실차단 등이 흔하며 2도방실차단 및 완전방실차단도 드물게 보고되고 있다. 그러나 완전방실차단이 있는 경우에 실신이나 심정지 등의 증상이 동반되는 경우는 매우 드물다. 완전방실차단이 병발된 갑상선기능항진증 환자에서는 항갑상선제 등을 포함한 갑상선 치료를 시행하면서 심전도의 주기적 검사를 통해 임상경과 관찰을 하고 있다. 그러나 국내에서는 갑상선기능항진증에 병발된 완전방실차단이 있는 환자에서 심정지가 나타난 예가 없었으며, 저자들은 일시적, 영구적 심박동기 삽입을 통해 환자의 삶을 유지할 수 있었던 1예를 경험하였기에 보고하는 바이다.

참고문헌 (Reference)

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