Thyrotoxicosis factitia: a rare cause of junctional rhythm and cardiac arrest

Thyrotoxicosis factitia is a hyperthyroid state due to the accidental or deliberate thyroxine ingestion. It can have many complications depending upon the organ involved. We present a case of a heavy built athlete presenting with cardiac arrest, who was found to be abused the thyroxine hormone for b...

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Bibliographic Details
Main Authors: Sohaib Roomi, Waqas Ullah, Iqra Iqbal, Asrar Ahmad, Sameer Saleem, Zeeshan Sattar
Format: Article
Language:English
Published: Taylor & Francis Group 2019-05-01
Series:Journal of Community Hospital Internal Medicine Perspectives
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Online Access:http://dx.doi.org/10.1080/20009666.2019.1618668
Description
Summary:Thyrotoxicosis factitia is a hyperthyroid state due to the accidental or deliberate thyroxine ingestion. It can have many complications depending upon the organ involved. We present a case of a heavy built athlete presenting with cardiac arrest, who was found to be abused the thyroxine hormone for bodybuilding. Electrocardiogram (EKG) was significant for junctional arrhythmias along with interval supraventricular tachycardia (SVT) and bradycardia. The patient ultimately expired due to a failed resuscitation. To our knowledge, this is the first reported case of junctional arrhythmias caused by exogenous thyroxine.
ISSN:2000-9666