雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

A case of myxedema heart with Sleep apnea Syndrome Toshiaki Shiomi 1 , Yumiko Yano 1 , Hideharu Kojima 2 , Asao Ito 2 , Tadshi Kobayashi 1 , Tsumu Watanabe 1 1The 3rd Department of Internal Medicine, Aichi Medical University 2Central Laboraty for Clinical Investigation, Aichi Medical University pp.1011-1016
Published Date 1988/9/15
DOI https://doi.org/10.11477/mf.1404205330
  • Abstract
  • Look Inside

A 64-year-old male with a typical myxedema heart in whom sick sinus syndrome had been suspectedbecause of remarkable bradyarrhythmias andcardi-omegaly was admitted. The pulse rate was32/min, the cardiothoracic ratio was 70%, and in the thyroid hormonal findings T3,T4 andTSH wereO. 13ng/ml, 0.80μg/dl and more than200μU/ml respectively. It was detected that he had the complication of sleep apnea syndrome (SAS) by means of the respi-ratory Holter's monitoring system (Res. Holter) and the sleeping Holter's monitoring system which we had devised as new convenient methods for the diagnosis of SAS. Prior to the oral administration of levothyroxine sodium, apnea index (AI) was 56.7, and the central type of sleep apnea was predominant. To observe the changes of bradyar-rhythmias and sleep apnea following its administra-tion, Res. Holter was performed seven times in this case. At the 3 rd week of its administration heart rate increased to 68/min, at the 5 th week AI decreased to 4. 9, and at the 7 th weekAI norma-lized to 2. 8. The reason why SAS was cured fol-lowing its administration is that so-called"giant tongue" and the obstruction of upper airway due to myxedema must have been recovered. If the causes of somnolence and bradycardia that are cha-racteristics of myxedema should be considered, one could not ignore the complication of SAS in future.


Copyright © 1988, Igaku-Shoin Ltd. All rights reserved.

基本情報

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

関連文献

もっと見る

文献を共有