[Treatment of amiodarone-induced hyperthyroidism by carbimazole with maintenance of amiodarone].
The authors report the case of a patient treated with amiodarone for syncopal ventricular tachycardia complicating idiopathic dilated cardiomyopathy in whom symptomatic hyperthyroidism led to a discussion of the different therapeutic options available in this type of case. Neomercazole treatment was prescribed with success enabling maintenance of the antiarrhythmic drug. The reputation of inefficacy of carbimazole should be reconsidered ; high dose therapy should probably be tried in patients with hyperthyroidism when withdrawal of the antiarrhythmic drug does not seem to be possible.
Talard
P
P
Service de cardiologie, hôpital d'Instruction des Armées Sainte-Anne, Toulon Naval.
Bonal
J
J
Cellarier
G
G
Bouchiat
C
C
Dussarat
G V
GV
D000638:Amiodarone / Q000009:adverse effects* / Q000627:therapeutic use; D000889:Anti-Arrhythmia Agents / Q000009:adverse effects* / Q000627:therapeutic use; D013956:Antithyroid Agents / Q000627:therapeutic use*; D002231:Carbimazole / Q000627:therapeutic use*; D004334:Drug Administration Schedule; D005500:Follow-Up Studies; D006801:Humans; D006980:Hyperthyroidism / Q000139:chemically induced* / Q000188:drug therapy* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D017180:Tachycardia, Ventricular / Q000188:drug therapy; D016896:Treatment Outcome
D000889:Anti-Arrhythmia Agents; D013956:Antithyroid Agents; D002231:Carbimazole; D000638:Amiodarone
Traitement d'une hyperthyroïdie à l'amiodarone par carbimazole avec poursuite de l'amiodarone.