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Hyperthyroidism-associated coronary spasm: A case of non-ST segment elevation myocardial infarction with

Xiao-Hu Kuang1, Shu-Yang Zhang

  • 1Chinese Academy of Medical Sciences & Peking Union Medical College & Peking Union Medical College Hospital, Beijing 100730, China.

Journal of Geriatric Cardiology : JGC
|July 12, 2012
PubMed

Insights

Hyperthyroidism can cause heart issues like coronary spasm. Coronary angiography is not recommended as a first diagnostic step for chest pain in patients with uncontrolled hyperthyroidism.

Area of Science:

  • Cardiology
  • Endocrinology

Background:

  • Hyperthyroidism is linked to various cardiovascular conditions.
  • A thyrotoxic state is recognized to correlate with coronary artery spasm.

Observation:

  • A case study involving a non-menopausal woman with hyperthyroidism presenting with chest pain.
  • Coronary spasm was diagnosed via coronary angiography (CAG).

Findings:

  • The patient's condition improved with treatment for both hyperthyroidism and angina.
  • Coronary angiography (CAG) may not be the optimal initial diagnostic tool for chest pain in patients with uncontrolled hyperthyroidism.

Implications:

  • This case highlights the importance of considering hyperthyroidism in patients with unexplained chest pain.
  • It suggests a cautious approach to invasive procedures like CAG in this specific patient population.
  • Further research may be warranted to establish optimal diagnostic pathways for cardiac symptoms in hyperthyroid patients.

Keywords:
beta-blockercoronary angiographycoronary spasmhyperthyroidism

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