Abstract
A 48 year old woman presented with angina after an anterior myocardial infarction and was found to be hyperthyroid. Coronary angiography showed a stenosis of the left coronary os and a long, severe stenosis of the left anterior descending artery which was partially relieved by glyceryl trinitrate. Three months later, after radioactive iodine treatment had rendered her euthyroid, repeat coronary angiography showed entirely normal coronary arteries. This unusual case establishes an association between hyperthyroidism and coronary vasospasm resulting in myocardial infarction.
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- Kotler M. N., Michaelides K. M., Bouchard R. J., Warbasse J. R. Myocardial infarction associated with thyrotoxicosis. Arch Intern Med. 1973 Nov;132(5):723–728. [PubMed] [Google Scholar]
- Moliterno D., DeBold C. R., Robertson R. M. Case report: coronary vasospasm--relation to the hyperthyroid state. Am J Med Sci. 1992 Jul;304(1):38–42. doi: 10.1097/00000441-199207000-00010. [DOI] [PubMed] [Google Scholar]
- Nakano T., Konishi T., Takezawa H. Vasospastic angina in thyrotoxicosis--case reports. Angiology. 1987 Sep;38(9):717–722. doi: 10.1177/000331978703800910. [DOI] [PubMed] [Google Scholar]
- Papazoglou N., Kelermenos N., Andriopoulos J., Prionas D. Vasospastic angina with hyperthyroidism. Heart Lung. 1987 Jul;16(4):437–438. [PubMed] [Google Scholar]
- Resnekov L., Falicov R. E. Thyrotoxicosis and lactate-producing angina pectoris with normal coronary arteries. Br Heart J. 1977 Oct;39(10):1051–1057. doi: 10.1136/hrt.39.10.1051. [DOI] [PMC free article] [PubMed] [Google Scholar]
- SOMERVILLE W., LEVINE S. A. Angina pectoris and thyrotoxicosis. Br Heart J. 1950 Jul;12(3):245–257. doi: 10.1136/hrt.12.3.245. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wei J. Y., Genecin A., Greene H. L., Achuff S. C. Coronary spasm with ventricular fibrillation during thyrotoxicosis: response to attaining euthyroid state. Am J Cardiol. 1979 Feb;43(2):335–339. doi: 10.1016/s0002-9149(79)80023-5. [DOI] [PubMed] [Google Scholar]