Critical Care Unit, Egyptian Ministry of Health (MOH), Egypt
*Corresponding author:Yasser Mohammed Hassanain Elsayed Critical Care Unit, Kafr El-Bateekh Central Hospital, Damietta Health Affairs, Egyptian Ministry of Health (MOH), Damietta, Egypt
Submission:June 19, 2023;Published: June 27, 2023
ISSN : 2578-0379Volume5 Issue3
Rationale: Atrial fibrillation occurs in up to 15% of patients with hyperthyroidism compared to 4% of
people in the general population. Silent myocardial ischemia may occur in the absence of chest pain.
Silent myocardial ischemia would carry serious sequelae in delayed diagnosis and the appearance
of complications. Atrial fibrillation is the most commonly encountered clinical arrhythmia, often
complicating acute myocardial infarction. It contributes to high rates of in-hospital adverse events.
Anemia may be a risk factor for tachycardia.
Patient concerns: A 65-year-married male, worker, and Egyptian, patient was presented to the critical care unit with atrial fibrillation, silent myocardial infarction, and thyrotoxicosis.
Diagnosis: A 65-year-married male, worker, and Egyptian, patient was presented to the critical care unit with atrial fibrillation, silent myocardial infarction, and thyrotoxicosis.
Interventions: Electrocardiography, oxygenation, blood transfusion, and. abdominal ultrasound
Outcomes:Dramatic electrocardiographic and clinical stabilization was the result.
Keywords:Silent coronary heart disease; Infarction; Arrhythmia; Anemia; Thyrotoxicosis; Atrial fibrillation; Elderly
Abbreviations:AF: Atrial Fibrillation; AMI: Acute Myocardial Infarction; DCC; Cardioversion; ECG: Electrocardiogram; HR; Heart Rate; ICU: Intensive Care Unite; MI: Myocardial Infarction; NSR: Normal Sinus Rhythm; O2: Oxygen; SGOT: Serum Glutamic-Oxaloacetic Transaminase; SGPT: Serum Glutamic- Pyruvic Transaminase; SMI; Silent Myocardial Ischemia; STEMI: ST-Segment Elevation Myocardial Infarction; VR: Ventricular Rate