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Hyperthyroidism-associated coronary vasospasm with myocardial infarction and subsequent euthyroid angina
Rupa Patel1, Gail Peterson, Anand Rohatgi
1Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9066, USA.
Thyroid : Official Journal of the American Thyroid Association
|February 19, 2008
Summary
This study highlights a rare case of hyperthyroidism-associated coronary vasospasm in an African-American woman. Recurrent angina occurred even after thyroid levels normalized, challenging typical presentations.
Area of Science:
- Cardiology
- Endocrinology
Background:
- Coronary vasospasm is a rare condition causing chest pain.
- Hyperthyroidism is an uncommon but recognized cause of coronary vasospasm, typically seen in Asian women.
Observation:
- A 40-year-old African-American woman experienced myocardial infarction due to severe coronary vasospasm.
- She was diagnosed with hyperthyroidism and treated, leading to vasospasm resolution.
Findings:
- Chest pain recurred despite the patient becoming euthyroid.
- This atypical presentation challenges the typical resolution of hyperthyroidism-associated coronary vasospasm with euthyroid state.
Implications:
- Highlights the need for considering atypical presentations of hyperthyroidism-associated coronary vasospasm.
- Suggests potential underlying mechanisms beyond thyroid hormone levels in some patients.
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