Thyrotoxicosis with coronary spasm that required coronary artery bypass surgery

被引：18

作者：

Lee, Sang Min ^{[1
]}

Jung, Tae Sik ^{[1
,2
]}

Hahm, Jong Ryeal ^{[1
,2
]}

Il Im, Sung ^{[1
]}

Kim, Soo Kyoung ^{[1
]}

Lee, Kyeong Ju ^{[1
]}

Lee, Jae Min ^{[1
]}

Il Chung, Soon ^{[1
,2
]}

机构：

[1] Gyeongsang Natl Univ, Sch Med, Dept Internal Med, Jinju, South Korea

[2] Gyeongsang Natl Univ, Sch Med, Inst Hlth Sci, Jinju, South Korea

来源：

INTERNAL MEDICINE | 2007年 / 46卷 / 23期

关键词：

thyrotoxicosis; coronary vasospasm; coronary artery bypass; angina;

D O I：

10.2169/internalmedicine.46.0472

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We describe a 47-year-old woman with severe coronary vasospasm induced by hyperthyroidism. The patient complained of anginal chest pain without specific characteristics of thyrotoxicosis. Coronary arteriography was performed and revealed 90% stenosis of both the left and right coronary os. She was treated with emergent coronary artery bypass graft surgery. Postoperatively, she exhibited a comatose mentality. Severe thyrotoxicosis was indicated on thyroid function tests and thyrotoxic storm was diagnosed. Nineteen days after the surgery and following the initiation of propylthiouracil treatment, coronary arteriography revealed entirely normal coronary arteries.

引用

页码：1915 / 1918

页数：4

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