Amiodaron Kullanımına Bağlı Gelişen Hipotiroidi Tablosu

Abstract

Günümüzde ventriküler aritmi, paroksismal supraventriküler taşikardi, atriyal fibrilasyon, atriyal flutter gibi aritmilerin tedavisinde sıklıkla kullanılan bir antiaritmik olan amiodoronun en sık ve en önemli yan etkilerinden biri tiroid disfonksiyonuna sebep olmasıdır. Hastaların büyük çoğunluğu ötiroid kalmakla birlikte bazılarında tirotoksikoz bazılarında ise hipotiroidi tablosu ortaya çıkmaktadır. Amiodorona bağlı tirotoksikoz insidansı %1-23 arasında, hipotiroidi insidansı ise %1-32 arasında değişmektedir. Vakamızda amiodoron kullanımına bağlı hipotiroidi gelişen bir hastayı sunduk.

Keywords

• Amiodaron,Tiroid Disfonksiyonu,Hipotiroidi

Hypothyroidism Secondary To Amiodarone Use

Abstract

In recent years amiodarone is used in the treatment of arrhythmias such as atrial flutter, ventricular arrhythmia, paroxysmal supraventricular tachycardia, atrial fibrillation. The most common and important side effect of amiodarone is to cause thyroid dysfunction. Although the majority of patients are euthyroid, thyrotoxicosis or hypothyroidism occurs in some patients. Amiodarone induced thyrotoxicosis incidence of between 1-23%, and the incidence of hypothyroidism varies between 1-32%. In our case we present a patient with hypothyroidism secondary to amiodarone use.

Keywords

• Amiodarone,Thyroid Dysfunction,Hypothyroidism

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