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International Journal of Legal Medicine

, Volume 112, Issue 4, pp 271–274 | Cite as

Inflammation of the cardiac conduction system in a case of hyperthyroidism

  • C. Ortmann
  • H. Pfeiffer
  • A. Du Chesne
  • B. Brinkmann
Case report

Abstract

A 37-year-old female showed signs of hyperthyroidism 2 weeks before death after a partial thyroidectomy was carried out 15 years previously. An examination 3 days before death revealed a normal blood cell count, an increased level of thyroidal hormones, sinus tachycardia and a high blood pressure of 170/90 mm Hg. A hyperthyroidism was diagnosed and therapy with carbimazol (2 × 10 mg) was started but 2 days later fever and chill occurred and before death short phases of unconsciousness and dyspnoea. The autopsy findings showed an interstitial inflammation of the AV-node, the His-bundle and its branches which can correlate with typical ECG changes in hyperthyroidism.

Key words Hyperthyroidism Thyrotoxicosis Myocarditis Cardiac conduction system 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1999

Authors and Affiliations

  • C. Ortmann
    • 1
  • H. Pfeiffer
    • 1
  • A. Du Chesne
    • 1
  • B. Brinkmann
    • 1
  1. 1.Institut für Rechtsmedizin, Westfälische Wilhelms-Universität, Von-Esmarch-Strasse 62, D-48129 Münster, Germany Fax +49-251-8355158DE

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