Dome-and-dart T Waves and Hyperthyroidism - A Case Report.

Eur Endocrinol

Department of Medicine, Internal Medicine-3, University of Padova, Padova, Italy.

Published: April 2020

We briefly describe a case of a 31-year-old man with persistent hyperthyroidism, despite medical treatment with high dose methimazole. Twelve-lead 24-hour Holter monitoring showed bifid (or dome-and-dart) T waves and echocardiography revealed mild left ventricle dilatation. Hyperthyroidism was eventually treated with total thyroidectomy, and thereafter, T waves became normal and the left ventricle returned to normal dimensions. Hyperthyroidism should be considered among the differential diagnoses when T wave abnormalities are observed on electrocardiogram and when mild left ventricle dilatation is observed on an echocardiogram. The correction of hyperthyroidism can reverse these abnormalities.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7308098PMC
http://dx.doi.org/10.17925/EE.2020.16.1.69DOI Listing

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