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Vasospastic angina in a patient with hyperthyroidism

Herz · Ağustos 2012

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YÖKSİS Kayıtları
Vasospastic angina in a patient with hyperthyroidism
Herz · 2012 SCI
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Makale Bilgileri

DergiHerz
Yayın TarihiAğustos 2012
Cilt / Sayfa37 · 570-572
Özet 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. © Urban & Vogel 2012.

Yazarlar (4)

1
Ugur Canpolat
ORCID: 0000-0002-4250-1706
2
H. Sunman
3
Kadri Murat Gurses
4
Kudret Aytemir

Anahtar Kelimeler

Angina pectoris Contrast media Coronary spasm Diagnosis Differential Thyrotoxicosis

Kurumlar

Hacettepe Üniversitesi
Ankara Turkey

Metrikler

4
Atıf
4
Yazar
6
Anahtar Kelime

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