|
|
|
|
Left main coronary artery spasm in a hyperthyroid patient with suspected acute coronary syndrome
|
|
|
|
|
|
|
|
نویسنده
|
Wang De-zhao ,Hu Hong-yu ,Fu Qiang ,Chen Wei ,Hua Xu ,Chen Bu-xing
|
|
منبع
|
pakistan journal of medical sciences - 2013 - دوره : 29 - شماره : 5 - صفحه:1285 -1287
|
|
چکیده
|
The left main coronary artery (lmca) vasospasm is rare. we report a suspected acute coronary syndrome patient with hyperthyroidism who had lmca vasospasm. coronary angiogram showed 60% stenosis at lmca. after administering nitroglycerin, re-angiography showed no significant stenosis. then we evaluated lmca lesion using intravascular ultrasound (ivus) showing no significant stenosis. we considered that it was a lmca vasospasm and may be assosiated with hyperthyroid state. after anti-thyroid and anti-spasm treatment, chest pain subsided. in conclusion, hyperthyroidism induced coronary hypersensitivity may contribute to lmca vasospasm as seen in this case. ivus may be useful to identify coronary vasospasm.
|
|
کلیدواژه
|
Coronary angiography ,Hyperthyroidism ,Intravascular ultrasound ,Left main coronary artery ,Vasospasm
|
|
آدرس
|
Capital Medical University, Tiantan Hospital, Department of Cardiology, China, Capital Medical University, Tiantan Hospital, Department of Cardiology, China, Capital Medical University, Tiantan Hospital, Department of Cardiology, China, Capital Medical University, Tiantan Hospital, Department of Cardiology, China, Capital Medical University, Tiantan Hospital, Department of Cardiology, China, Capital Medical University, Tiantan Hospital, Department of Cardiology, China
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Authors
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|