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A Case of Beriberi Developing High-output Heart Failure with the Distinctive Changes of the Electrocardiogram During the Clinical Course of Neuropathy Keiko Yodoi 1 , Tomofumi Takaya 1 , Katsuya Hata 1 , Yoichi Kijima 1 , Akira Fukuda 1 , Tomoya Masano 2 , Hideto Nakajima 1 , Yuji Nishikawa 1 , Masahiko Imaizumi 1 , Sayo Yamaguchi 1 , Seinosuke Kawashima 2 , Toshihiko Seo 1 1Department of Cardiovascular Medicine, Saiseikai Nakatsu Hospital 2Department of General Medicine, Saiseikai Nakatsu Hospital Keyword: 脚気 , 高心拍出性心不全 , 神経障害 , ビタミンB1 , beriberi , high-output heart failure , neuropathy , vitamin B1 pp.331-335
Published Date 2010/3/15
DOI https://doi.org/10.11477/mf.1404101450
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 A-61-year-old man, who had undergone total gastrectomy for gastric cancer eleven years ago, suffered from progressive numbness of the extremities and muscular weakness three years later. His case was followed-up as chronic inflammatory demyelinating polyneuropathy. One month ago, walking difficulty and eyelid ptosis worsened and he was admitted to our hospital. Electrocardiogram on admission showed asymptomatic ST elevation in V4-6 leads. No enzymatic elevation was detected and normal contraction was confirmed with the echocardiogram. Two days later, his blood pressure suddenly decreased and he complained of dyspnea. Chest X-ray and echocardiogram revealed high-output heart failure. From his past clinical course, we suspected beriberi and immediately started the supplementation of vitamin B1, and his hemodynamic and heart failure stabilized in a few hours. With the vitamin B1 administration, his nervous system disorder was also improved. We diagnosed this case as beriberi containing neurological disorder. In the case of a patient with neurological disorder after gastrectomy, if the patient complains of any symptom suggesting the existence of heart disease, beriberi is to be suspected as a probable cause.


Copyright © 2010, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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