Myocardial Infarction, Severe Reversible Ischemia, and Shock Following Excess Thyroid Administration in a Woman With Normal Coronary Arteries

Bergeron, Gary A.; Goldsmith, Richard; Schiller, Nelson B.

doi:10.1001/archinte.1988.00380060214038

Cited by 40 publications

(11 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…13) Severe reversible ischemia due to excess thyroid administration has been reported. 14) Vasospasm was also angiographically identified in a patient with occult hyperthyroidism. 15) Thus, spastic angina may be induced in patients with both transient or persistent hyperthyroidism.…”

Section: Discussionmentioning

confidence: 86%

Cardiac Wall Motion Abnormalities Observed in a Patient With Transient Hyperthyroidism

et al. 2004

View full text Add to dashboard Cite

SUMMARYA 74-year-old woman, with a history of hypertension and hyperlipidemia, was admitted to our hospital. She was found to have a sinus tachycardia with ST-segment elevations in leads II, III, a V F , and V 3 through V 6 in electrocardiography, hypokinesis of the left ventricular apex by echocardiography, and normal findings on coronary angiography. Blood analysis revealed an increase in the creatine kinase MB fraction, a significant positive detection in troponin T, and transient elevations in the concentrations of free triiodothyronine, free thyroxine, thyroid globulin antibody, and thyroid peroxidase antibody. Defects in myocardial perfusion and fatty acid metabolism in the apical area were also demonstrated by myocardial scintigraphy. These data suggest that tako-tsubo syndrome or myocardial infarction may be induced in patients with mild and transient hyperthyroidism.

show abstract

Section: Discussionmentioning

confidence: 86%

Cardiac Wall Motion Abnormalities Observed in a Patient With Transient Hyperthyroidism

et al. 2004

View full text Add to dashboard Cite

show abstract

“…Thyrotoxicosis increases the risk of heart diseases such as atrial fibrillation, heart failure, angina, and myocardial infarction (1). Anginal chest pain was found to be a frequent symptom in thyrotoxicosis, occurring in 0.5-20% of patients (usually 10-12%), and almost all of the patients had previous coronary artery disease (CAD) (5)(6)(7)(8)(9) (11,12)…”

Section: Introductionmentioning

confidence: 99%

Thyrotoxicosis with Coronary Spasm that Required Coronary Artery Bypass Surgery

et al. 2007

View full text Add to dashboard Cite

show abstract

“…[13], reported a case in which the repetitive occurrence of episodes of myocardial ischemia due to coronary spam was correlated with repeated transient elevations in thyroid hormone levels. Severe reversible ischemia due to excess thyroid administration has been reported [14]. Vasospam was also angiographically identified in a patient with occult hyperthyroidism [15].…”

Section: Discussionmentioning

confidence: 85%

“…On other hand, there are several reports of patients with normal coronaries and with angina and hyperthyroidism, similar to our patient. Angiographically, vasospam can be identified in patients with hyperthyroidism [11][12][13][14][15]. Masani et al [11], described a case of myocardial infarction due to vasospam with hyperthyroidism and reported that vasospam disappeard after the patient had been rendered euthyroid.…”

Section: Discussionmentioning

confidence: 99%

Tako-tsubo cardiomyopathy observed in a patient with sepsis and transient hyperthyroidism

Sarullo

Americo

Accardo

et al. 2016

Monaldi Arch Chest Dis

View full text Add to dashboard Cite

ischemic stroke with residual left hemiparesis, was admitted to our hospital because of dyspnoea with clinical evidence of acute pulmonary edema. She was found to have a sinus tachycardia with ST-elevation in leads D1, aVL and V1-V4 in the electrocardiogram, and akinesis of the left ventricular apex with overall left ventricular systolic function being severely impaired and an ejection fraction of 28% on echocardiography. Orotracheal intubation was performed and mechanical ventilation was immediately started. Emergency cardiac catheterization was performed 2 h after the symptom onset. Coronary angiography showed no significant coronary artery disease. Blood analysis revealed an increase in the creatine kinase MB fraction, a significant positive detection in troponin T, a white blood cell count of 35000 per microliter, C-reactive protein of 59,9 mg/dl, and transient elevation in the concentration of free triiodothyronine, free thyroxine, thyroid globulin antibody, and thyroid peroxidase antibody. The symptoms improved during the next days, and follow-up echocardiography 18 days later showed complete resolution of the left ventricular dysfunction. These data suggest that tako-tsubo cardiomyopathy may be induced in patients with sepsis and transient hyperthyroidism.

show abstract

Myocardial Infarction, Severe Reversible Ischemia, and Shock Following Excess Thyroid Administration in a Woman With Normal Coronary Arteries

Cited by 40 publications

References 24 publications

Cardiac Wall Motion Abnormalities Observed in a Patient With Transient Hyperthyroidism

Cardiac Wall Motion Abnormalities Observed in a Patient With Transient Hyperthyroidism

Thyrotoxicosis with Coronary Spasm that Required Coronary Artery Bypass Surgery

Tako-tsubo cardiomyopathy observed in a patient with sepsis and transient hyperthyroidism

Contact Info

Product

Resources

About