Cardiovascular Magnetic Resonance in Wet Beriberi
Author Information
Author(s): Essa Essa, Michael R Velez, Sakima Smith, Shivraman Giri, Subha V Raman, Richard J Gumina
Primary Institution: The Ohio State University
Hypothesis
Can thiamine deficiency lead to severe cardiovascular dysfunction as observed through cardiovascular magnetic resonance imaging?
Conclusion
The case demonstrates that timely recognition and treatment of thiamine deficiency can reverse severe cardiovascular compromise.
Supporting Evidence
- The patient's thiamine level was critically low at 23 nmol/L, confirming thiamine deficiency.
- Cardiovascular magnetic resonance showed severe left ventricular systolic dysfunction and significant myocardial edema.
- After five days of thiamine treatment, the patient's hypotension resolved and he was extubated.
Takeaway
A 72-year-old man with thiamine deficiency had serious heart problems, but after getting thiamine treatment, he got better.
Methodology
The patient underwent cardiovascular magnetic resonance imaging to assess myocardial edema and left ventricular function.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
One 72-year-old male patient with a history of type 2 diabetes and pancreatic cancer.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website