{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:24:25Z","timestamp":1777940665855,"version":"3.51.4"},"reference-count":5,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T00:00:00Z","timestamp":1712707200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Royal College of Physicians of Edinburgh"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:p>We report two cases of myxoedema coma that presented to the acute medical take with severe bradycardia. These patients were initially misdiagnosed as bradyarrhythmia of primary cardiac origin. They were then diverted to the cardiology service at another district general hospital (DGH) for admissions. Both cases were subsequently diagnosed with myxoedema coma having screened thyroid function tests on arrival at the cardiology unit. Despite being treated for myxoedema coma, both patients unfortunately succumbed to the disease and later died in the hospital. These cases highlight that clinical suspicion and recognition of myxoedema coma remain significant challenges in a developed world despite readily available and highly sensitive thyroid hormone assays.<\/jats:p>","DOI":"10.1177\/14782715241244840","type":"journal-article","created":{"date-parts":[[2024,4,11]],"date-time":"2024-04-11T02:44:35Z","timestamp":1712803475000},"page":"133-137","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Severe bradycardia at acute medical take \u2013 Think about myxoedema coma"],"prefix":"10.1177","volume":"54","author":[{"given":"Aye Chan","family":"Maung","sequence":"first","affiliation":[{"name":"Department of Endocrinology, Oxford Centre for Diabetes, Endocrinology and Metabolism, Churchill Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK"},{"name":"Department of Endocrinology, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Aylesbury, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henrietta","family":"Brain","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Aylesbury, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chitrabhanu","family":"Ballav","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Aylesbury, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarbpreet","family":"Sihota","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Aylesbury, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,4,10]]},"reference":[{"key":"bibr1-14782715241244840","doi-asserted-by":"publisher","DOI":"10.1016\/j.ecl.2006.09.003"},{"key":"bibr2-14782715241244840","doi-asserted-by":"publisher","DOI":"10.1186\/cc6211"},{"key":"bibr3-14782715241244840","doi-asserted-by":"publisher","DOI":"10.4158\/EP13460.OR"},{"key":"bibr4-14782715241244840","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2014.0028"},{"key":"bibr5-14782715241244840","volume":"10","author":"Rajendran A","year":"2021","journal-title":"Eur Thyroid J"}],"container-title":["Journal of the Royal College of Physicians of Edinburgh"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14782715241244840","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/14782715241244840","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14782715241244840","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T05:57:05Z","timestamp":1777701425000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/14782715241244840"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,10]]},"references-count":5,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1177\/14782715241244840"],"URL":"https:\/\/doi.org\/10.1177\/14782715241244840","relation":{},"ISSN":["1478-2715","2042-8189"],"issn-type":[{"value":"1478-2715","type":"print"},{"value":"2042-8189","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,10]]}}}