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Hyperthyroidism Presenting with Coronary Vasospasm.

Cong-Qing Miao^1,2, Wen-Yuan Wang, Yue Zhao^1,2

¹Department of Endocrinology, Yangzhou University affiliated to Jiangdu People's Hospital of Yangzhou City, Jiangsu Province, China.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

|November 15, 2022

Summary

This summary is machine-generated.

Hyperthyroidism can cause coronary vasospasm, a rare condition presenting as chest pain. Early thyroid function testing is crucial for patients with suspected coronary vasospasm.

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Area of Science:

Cardiology
Endocrinology

Background:

Hyperthyroidism is linked to various heart conditions, including hyperthyroid cardiopathy.
Coronary vasospasm is an uncommon manifestation of hyperthyroidism.

Observation:

A 54-year-old male presented with recurrent chest pain, initially suspected as coronary vasospasm due to normal coronary angiography.
Abnormal thyroid function tests and TSH-receptor antibodies confirmed hyperthyroidism, specifically Graves' disease, despite atypical symptoms.

Findings:

Graves' disease was identified as the likely cause of the patient's coronary vasospasm.
Chest pain resolved after treatment with methimazole, an anti-thyroid medication.

Implications:

This case highlights the importance of investigating hyperthyroidism in patients with unexplained coronary vasospasm.
Routine thyroid function screening may aid in diagnosing cardiac issues linked to thyroid dysfunction.