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CASE REPORT
Atrioventricular block: an unusual complication of Graves’ disease
  1. Akintayo Adesokan1,
  2. Trisha Vigneswaran1,2,
  3. Michal Ajzensztejn3,
  4. Sujeev Mathur4
  1. 1 Department of Congenital Heart Disease, Evelina London Children’s Hospital, London, UK
  2. 2 Division of Imaging Sciences and Biomedical Engineering, King’s College London, London, UK
  3. 3 Department of Paediatric Endocrinology, Evelina London Children’s Hospital, London, UK
  4. 4 Evelina London Children’s Hospital, London, UK
  1. Correspondence to Dr Akintayo Adesokan, aadesokan{at}doctors.org.uk

Summary

We report the case of a 10-year-old girl treated with atenolol and carbimazole for tachycardia and hypertension associated with Graves’ disease who developed symptomatic 2:1 heart block. 2:1 heart block resolved following cessation of atenolol, reduction in carbimazole dose and treatment of suspected tonsillitis. First-degree atrioventricular block persisted, but gradually normalised following improvement in thyroid status.

  • Arrhythmias
  • Thyroid disease
  • Paediatrics (drugs and medicines)

https://doi.org/10.1136/bcr-2016-218273

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    Footnotes

    • Contributors AA and TV were responsible for reviewing the case and drafting the manuscript. MA and SM reviewed and revised the manuscript for important intellectual content. All authors have read and approved the final manuscript.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.