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Case Reports
. 2011 Dec;8(4):258-9.
doi: 10.3724/SP.J.1263.2011.00258.

Hyperthyroidism-associated coronary spasm: A case of non-ST segment elevation myocardial infarction with thyrotoxicosis

Xiao-Hu Kuang  1 , Shu-Yang Zhang
Affiliations
Case Reports

Hyperthyroidism-associated coronary spasm: A case of non-ST segment elevation myocardial infarction with thyrotoxicosis

Xiao-Hu Kuang et al. J Geriatr Cardiol. 2011 Dec.

Abstract

Hyperthyroidism is associated with many heart diseases. Thyrotoxic state has a relationship with coronary spasm. We present a case of a non-menopausal woman with hyperthyroidism who complained of chest pain. The diagnosis of coronary spasm was confirmed by coronary angiography (CAG). She is treated well with anti-thyrotoxicosis and anti-anginal medication. We recommend not use CAG as the first diagnostic choice among the patients with medication-uncontrolled hyperthyroidism and chest pain.

Keywords: beta-blocker; coronary angiography; coronary spasm; hyperthyroidism.

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Figures

Figure 1.
Figure 1.. Wide range of ST-segment depression in electrocardiogram leads.
Figure 2.
Figure 2.. Vasospasm at ostium of left main.
Figure 3.
Figure 3.. Electrocardiogram before discharge: no obvious abnormalities.
See this image and copyright information in PMC

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