Document Detail


Vasospastic angina in a patient with hyperthyroidism.
MedLine Citation:
PMID:  22407422     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
A 56-year-old man presented with typical angina pectoris lasting >20 min associated with precordial ST-segment elevation. Urgent coronary angiography showed critical stenosis in the proximal segment of the left anterior descending artery, which resolved with intracoronary nitrate application. He was subsequently diagnosed with hyperthyroidism secondary to exposure of iodinated contrast agent which is thought to be the cause of the coronary spasm. Symptoms resolved upon treatment with propylthiouracil, slow-release diltiazem, isosorbide mononitrate, and aspirin. This unusual case highlights the importance of considering hyperthyroidism in the differential diagnosis of chest pain and coronary artery spasm. We suggest routine thyroid function testing in patients with coronary spasm.
Authors:
U Canpolat; H Sunman; K M Gürses; K Aytemir
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-3-11
Journal Detail:
Title:  Herz     Volume:  -     ISSN:  1615-6692     ISO Abbreviation:  -     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-3-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7801231     Medline TA:  Herz     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Cardiology, Hacettepe University Faculty of Medicine, 06100, Sihhiye/Ankara, Turkey, dru_canpolat@yahoo.com.
Vernacular Title:
Vasospastische Angina bei einem Patienten mit Hyperthyreose.
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