Document Detail

Thyrotoxicosis and coronary artery spasm: case report and review of the literature.
MedLine Citation:
PMID:  20498149     Owner:  NLM     Status:  MEDLINE    
A 51-year old Middle-Eastern man presented with recurrent chest pain associated with ST-segment elevation. The patient was treated with placement of a stent in the right coronary artery. He was subsequently diagnosed with severe hyperthyroidism secondary to Graves disease, which is thought to be the cause of the coronary spasm. The patient was treated with neomercazole and potassium iodide solution, and diltiazem, and nitrates with resolution of his symptoms. This unusual case highlights the importance of considering hyperthyroidism in the differential diagnosis of recurrent chest pain and coronary artery spasm. We suggest routine thyroid function testing in patients with coronary spasm.
Jihad Al Jaber; Saiful Haque; Hassam Noor; Buthina Ibrahim; Jassim Al Suwaidi
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2010-05-24
Journal Detail:
Title:  Angiology     Volume:  61     ISSN:  1940-1574     ISO Abbreviation:  Angiology     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-15     Completed Date:  2010-11-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  807-12     Citation Subset:  IM    
Department of Cardiology, Hamad Medical Corporation (HMC), Doha, Qatar.
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MeSH Terms
Coronary Angiography
Coronary Vasospasm / diagnosis,  etiology*
Diagnosis, Differential
Middle Aged
Thyrotoxicosis / complications*,  diagnosis

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

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