Cardiac beriberi: two modes of presentation.
Two patients suffering from cardiovascular beriberi presented with different clinical manifestations. One had the classical features of a high cardiac output with raised jugular venous pressure and gross oedema. The other was in fulminating heart failure with clinical evidence of a low cardiac output but no peripheral oedema. The latter type of beriberi (shoshin) is rare. Cardiovascular beriberi has a high mortality when untreated. Both patients responded dramatically to thiamine, and this emphasizes the importance of considering thiamine deficiency as a cause of heart failure even when the cardiac output is low.
D000328:Adult; D001602:Beriberi / Q000188:drug therapy / Q000401:mortality / Q000503:physiopathology*; D001794:Blood Pressure; D002245:Carbon Dioxide / Q000378:metabolism; D002302:Cardiac Output; D004487:Edema; D006321:Heart / Q000503:physiopathology*; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D007601:Jugular Veins; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D013147:Spirometry; D013831:Thiamine / Q000627:therapeutic use; D013832:Thiamine Deficiency / Q000150:complications; D014797:Vital Capacity
D002245:Carbon Dioxide; D010100:Oxygen; D013831:Thiamine