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Hashimoto Thyroiditis and Congenital Long QT Syndrome: A Dangerous Addition Causing Torsades—Case Report

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Case report reveals prolonged QT interval and torsades de pointes in a patient with Hashimoto thyroiditis, suggesting urgent treatment needs.

Patient experienced torsades de pointes after multiple defibrillator shocks, highlighting the condition's severity.
A QTc of 515 ms was recorded, emphasizing the link between hypothyroidism and QT interval prolongation.
Treatment with levothyroxine and intravenous magnesium led to normalization of the QT interval and cessation of arrhythmias.
Assessment of thyroid function is crucial for preventing sudden cardiac death in patients with long QT syndrome.

Acharya et al. (2025) studied this question.

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Case report reveals prolonged QT interval and torsades de pointes in a patient with Hashimoto thyroiditis, suggesting urgent treatment needs.