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Hyperthyroidism Presenting with Coronary Vasospasm

Author(s)
Cong-Qing Miao Department of Endocrinology, Yangzhou University affiliated to Jiangdu People s Hospital of Yangzhou City,Jiangsu Province,China
Wen-Yuan Wang Department of Cardiology, Yangzhou University affiliated to Jiangdu People s Hospital of Yangzhou City,Jiangsu Province,China
Yue Zhao Department of Endocrinology, Yangzhou University affiliated to Jiangdu People s Hospital of Yangzhou City,Jiangsu Province,China
De-Chuan Lu Department of Endocrinology, Yangzhou University affiliated to Jiangdu People s Hospital of Yangzhou City,Jiangsu Province,China
Xin-Long Meng Department of Endocrinology, Yangzhou University affiliated to Jiangdu People s Hospital of Yangzhou City,Jiangsu Province,China
Abstract
Hyperthyroidism is associated with a number of heart diseases, and it may aggravate previous cardiac problems or cause new ones, such as hyperthyroid cardiopathy. Cases of hyperthyroidism presenting with coronary vasospasm are rarely reported. Herein, we present a case of a 54-year male patient with recurrent left chest pain for 2 months. Coronary angiography showed no obvious coronary artery stenosis, and coronary vasospasm was suspected. After admission, the patient's thyroid function and TSH-receptor antibody (TRAb) were abnormal. However, there was no obvious palpitation, hyperhidrosis, or weight loss, and the diagnosis of Graves' disease was rendered, which seemed to be the cause of coronary vasospasm. The patient did not experience chest pain after treatment with methimazole. Patients with coronary vasospasm should be investigated for the possibility of hyperthyroidism.
Publication Details
Page(s) 1492-1494
DOI DOI not available
Published Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 32, Issue: 11, Year: 2022

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Keywords
Coronary angiography, Hyperthyroidism, Hyperthyroidism, Chest pain, Coronary vasospasm
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