PMC5563397_01
Telemetry rhythm strip demonstrates sinus bradycardia preceding a sinus pause.
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However, inpatient telemetry monitoring demonstrated frequent episodes of sinus bradycardia which were asymptomatic and intermittent long sinus pauses of up to 9 seconds (Figure 1()).
An axial image of the goiter with computed tomography.
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Computed tomography imaging revealed a massive goiter extending from the nasopharynx to aortic arch causing rightward tracheal deviation (9.1 x 6.1 x 10 cm in greatest dimensions, Figure 2()).
Improved heart rhythm after thyroidectomy.
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Cardiac monitoring showed no further brady- or tachyarrhythmia during follow-up (Figure 3()).