Document Detail


Hyperthyroidism-associated coronary vasospasm with myocardial infarction and subsequent euthyroid angina.
MedLine Citation:
PMID:  18279027     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 40-year-old African-American woman presented with atypical chest pain, an acute non-ST segment elevation myocardial infarction, and angiographic evidence for severe ostial vasospasm of the left main and right coronary arteries. Subsequently, she was diagnosed with hyperthyroidism and treated with antithyroid therapy and oral nitrates. Repeat angiography revealed resolution of the vasospasm; however, the chest pain recurred in the euthyroid state. Hyperthyroidism-associated coronary vasospasm is a rare disorder that characteristically causes angina in young Asian women and resolves with correction of hyperthyroidism. We present an atypical case of an African-American woman presenting with a myocardial infarction who developed recurrent angina while euthyroid.
Authors:
Rupa Patel; Gail Peterson; Anand Rohatgi; Hans K Ghayee; Ellen C Keeley; Richard J Auchus; Alice Y Chang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Thyroid : official journal of the American Thyroid Association     Volume:  18     ISSN:  1050-7256     ISO Abbreviation:  Thyroid     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-02-18     Completed Date:  2008-04-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9104317     Medline TA:  Thyroid     Country:  United States    
Other Details:
Languages:  eng     Pagination:  273-6     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9066, USA.
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MeSH Terms
Descriptor/Qualifier:
Adrenergic beta-Antagonists / pharmacology
Adult
Angina Pectoris / drug therapy,  etiology*,  radiography
Antithyroid Agents / therapeutic use
Coronary Angiography
Coronary Vasospasm / complications*,  drug therapy,  etiology,  radiography
Euthyroid Sick Syndromes / drug therapy,  etiology*,  radiography
Female
Humans
Hyperthyroidism / complications*,  drug therapy,  radiography
Myocardial Infarction / drug therapy,  etiology*,  radiography
Recurrence
Treatment Outcome
Vasodilator Agents / therapeutic use
Chemical
Reg. No./Substance:
0/Adrenergic beta-Antagonists; 0/Antithyroid Agents; 0/Vasodilator Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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