Article Text

Download PDFPDF
Teriparatide-induced atrial tachycardia
  1. Jeffrey B Ziffra Jr1,
  2. Brian Olshansky2
  1. 1Cardiology, Mercy Medical Center, Mason City, IA, United States
  2. 2University of Iowa Hospitals, Cardiology, Iowa City, Iowa, USA
  1. Correspondence to Dr Jeffrey B Ziffra Jr, jeffziffra{at}


We present the case of a patient who presented with worsening chest pain and tachycardia. We were able to monitor her remotely through her pacemaker. She had been started on the injectable medication teriparatide (Forteo) and since then she had an increase in her symptoms. She was found to have intermittent atrial tachycardia with 1:1 conduction and occasional atrioventricular block transiently, coinciding with her injection of teriparatide. This specific-associated arrhythmia has yet to be described.

  • arrhythmias
  • pacing and electrophysiology
  • endocrine system
  • calcium and bone

Statistics from


  • Contributors Both authors have made significant contributions to this manuscript. Both authors constructed the introduction, discussion, literature search and have examined and interviewed the patient. Both authors significantly edited the content of the manuscript extensively. Both authors have no relevant financial disclosures and agree with the content of this manuscript.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

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

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.