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Primary hypothyroidism with an episode of ventricular tachycardia in a patient with COVID-19: A case report
Authors:Pin-Hsu Liao  Yu-Cheng Cheng  Po-Yu Liu  I-Te Lee
Affiliation:aDivision of Endocrinology and Metabolism, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung City, Taiwan;bSchool of Medicine, Chung Shan Medical University, Taichung City, Taiwan;cSchool of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan;dDivision of Infectious Diseases, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung City, Taiwan.
Abstract:Rationale:Coronavirus disease 2019 (COVID-19) is a systemic disease with major clinical manifestations in the respiratory system. However, thyroid involvement has also been reported. We present a case of hypothyroidism with ventricular tachycardia following diagnosis with COVID-19.Patient concerns:A 77-year-old man was admitted to the isolation ward due to COVID-19. After respiratory support and medical treatment, the patient was successfully weaned off the ventilator. However, an episode of short-run ventricular tachycardia was detected, and primary hypothyroidism was also diagnosed.Diagnosis:Ventricular tachycardia was detected by electrocardiography.Interventions:Intravenous amiodarone administration and oral levothyroxine replacement.Outcomes:No arrhythmia detected following treatment.Lessons:Awareness of the association between hypothyroidism and COVID-19 is important in preventing possible complications.
Keywords:coronavirus disease 2019   hypothyroidism   levothyroxine   ventricular tachycardia
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