Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 16, 2021; 9(35): 11085-11094
Published online Dec 16, 2021. doi: 10.12998/wjcc.v9.i35.11085
Acute myocarditis presenting as accelerated junctional rhythm in Graves’ disease: A case report
Meng-Mei Li, Wei-Sheng Liu, Rui-Cai Shan, Jun Teng, Yan Wang
Meng-Mei Li, Wei-Sheng Liu, Jun Teng, Yan Wang, Department of Emergency Medicine, Qingdao Central Hospital, Affiliated Qingdao Central Hospital, Qingdao University, Qingdao 266042, Shandong Province, China
Rui-Cai Shan, Department of Abdominal Ultrasonography, Qingdao Central Hospital, Affiliated Qingdao Central Hospital, Qingdao University, Qingdao 266042, Shandong Province, China
Author contributions: Li MM, Teng J, and Liu WS were the patient’s attending physicians, reviewed the literature, and contributed to manuscript drafting; Wang Y and Shan RC were responsible for the revision of the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jun Teng, MD, Chief Doctor, Department of Emergency Medicine, Qingdao Central Hospital, Affiliated Qingdao Central Hospital, Qingdao University, No. 127 Siliu South Road, Shibei District, Qingdao 266042, Shandong Province, China. owen-145@163.com
Received: June 28, 2021
Peer-review started: June 28, 2021
First decision: July 26, 2021
Revised: August 15, 2021
Accepted: October 25, 2021
Article in press: October 25, 2021
Published online: December 16, 2021
Processing time: 165 Days and 6.1 Hours
Core Tip

Core Tip: Junctional rhythm is a significantly rare occurrence in patients and is a manifestation of acute myocarditis. The etiology of junctional rhythm may be attributed to autoimmunity, and physicians should not ignore such arrhythmia. In addition to viruses, autoimmune diseases like Graves’ disease can also cause acute myocarditis. The present case highlights that those endocrine diseases should not be disregarded in patients who present with cardiovascular symptoms.