Thiamin deficiency right heart failure (Shoshin beriberi)
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作者:
Akpan, T
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机构:
CHI Meulan, Serv Med Interne, F-78250 Meylan, FranceCHI Meulan, Serv Med Interne, F-78250 Meylan, France
Akpan, T
[1
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Peschard, S
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机构:
CHI Meulan, Serv Med Interne, F-78250 Meylan, FranceCHI Meulan, Serv Med Interne, F-78250 Meylan, France
Peschard, S
[1
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Brinkane, AH
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机构:
CHI Meulan, Serv Med Interne, F-78250 Meylan, FranceCHI Meulan, Serv Med Interne, F-78250 Meylan, France
Brinkane, AH
[1
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Bergheul, S
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机构:
CHI Meulan, Serv Med Interne, F-78250 Meylan, FranceCHI Meulan, Serv Med Interne, F-78250 Meylan, France
Bergheul, S
[1
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Leroy-Terquem, E
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CHI Meulan, Serv Med Interne, F-78250 Meylan, FranceCHI Meulan, Serv Med Interne, F-78250 Meylan, France
Leroy-Terquem, E
[1
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Levy, R
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CHI Meulan, Serv Med Interne, F-78250 Meylan, FranceCHI Meulan, Serv Med Interne, F-78250 Meylan, France
Levy, R
[1
]
机构:
[1] CHI Meulan, Serv Med Interne, F-78250 Meylan, France
来源:
PRESSE MEDICALE
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2000年
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29卷
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05期
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暂无
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
BACKGROUND: Vitamin B1 deficiency (beriberi) is very uncommon in France. It leads to high output cardiac failure totally different from the situation observed in alcoholic patients. We report a typical case of cardiac beriberi. CASE REPORT: The patient was referred for dyspnea with high output cardiac failure. Echocardiography evidenced severe pulmonary hypertension and high cardiac output. The more common causes of heart failure were ruled out. The dietary habits of the patient (suggested beriberi which was confirmed by the low serum thiamin and therapeutic test with Vitamin B1. DISCUSSION: High output cardiac failure should suggest possible Shoshin beriberi, particularly in subjects with imported dietary habits living in a precarious socioeconomic situation.
机构:
St Michaels Hosp, Keenan Res Ctr, Li Ka Shing Knowledge Inst, Toronto, ON M5B 1W8, Canada
Univ Toronto, Dept Nutr Sci, Toronto, ON, CanadaSt Michaels Hosp, Keenan Res Ctr, Li Ka Shing Knowledge Inst, Toronto, ON M5B 1W8, Canada
Azizi-Namini, Parastoo
Yan, Andrew T.
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机构:
St Michaels Hosp, Keenan Res Ctr, Li Ka Shing Knowledge Inst, Toronto, ON M5B 1W8, Canada
St Michaels Hosp, Div Cardiol, Toronto, ON M5B 1W8, Canada
Univ Toronto, Dept Med, Toronto, ON, CanadaSt Michaels Hosp, Keenan Res Ctr, Li Ka Shing Knowledge Inst, Toronto, ON M5B 1W8, Canada
Yan, Andrew T.
Keith, Mary
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机构:
St Michaels Hosp, Keenan Res Ctr, Li Ka Shing Knowledge Inst, Toronto, ON M5B 1W8, Canada
Garden City Family Hlth Team, St Catharines, ON, CanadaSt Michaels Hosp, Keenan Res Ctr, Li Ka Shing Knowledge Inst, Toronto, ON M5B 1W8, Canada