Atrial fibrillation induced by post-parathyroidectomy transient thyrotoxicosis.
We describe a 59-year-old Japanese woman with post-parathyroidectomy transient thyrotoxicosis and atrial fibrillation. She underwent parathyroidectomy for secondary hyperparathyroidism due to chronic renal failure. Three days after surgery, she complained of palpitation and chest pain due to atrial fibrillation. Results of thyroid function tests were compatible with thyrotoxicosis. Twelve days after parathyroidectomy, the elevated level of free thyroxine decreased spontaneously to the normal range. These features were compatible with post-parathyroidectomy transient thyrotoxicosis. No further recurrences of thyrotoxicosis or atrial fibrillation were observed for one year. This is the first report of atrial fibrillation induced by post-parathyroidectomy transient thyrotoxicosis.
Department of Medicine, Tokai University School of Medicine, Isehara. hrhrsato@is.icc.u-tokai.ac.jp.
Haruhiro
H
Sato
Yoshiyasu
Y
Miyamoto
Miho
M
Inagaki
Genta
G
Kanai
Hajime
H
Suzuki
Reika
R
Tanaka
Takatoshi
T
Kakuta
Akira
A
Saito
D001281:Atrial Fibrillation / Q000175:diagnosis* / Q000209:etiology*; D005260:Female; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000601:surgery; D008875:Middle Aged; D016105:Parathyroidectomy; D011183:Postoperative Complications; D013971:Thyrotoxicosis / Q000097:blood / Q000150:complications* / Q000209:etiology; D013974:Thyroxine / Q000097:blood
D013974:Thyroxine