以ST段抬高型心肌梗死伴冠状动脉正常为表现的甲状腺功能亢进症——病例报告

Hyperthyroidism presenting as ST Elevation Myocardial Infarction with Normal Coronaries - A Case Report.

作者信息

Krishnan Gayathri Devi, Yahaya Norhayati, Yahya Mansor

机构信息

Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan, Malaysia.

出版信息

J ASEAN Fed Endocr Soc. 2019;34(1):92-94. doi: 10.15605/jafes.034.01.14. Epub 2019 Apr 3.

DOI:10.15605/jafes.034.01.14

PMID:33442142

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7784089/

Abstract

A 31-year-old male, apparently well, presented with typical chest pain. His ECG showed ST-elevation from V1-V4 and echocardiogram revealed anteroseptal wall hypokinesia with ejection fraction of 45%. Normal coronary arteries were seen on coronary angiogram. A thyroid function test showed elevated free T4 levels with suppressed thyroid stimulating hormone (TSH). Treatment with thionamides and beta-blockers improved symptoms. Upon review 4 months later he was well. Repeat echocardiogram showed good ejection fraction with no hypokinetic area.

摘要

一名31岁男性，外表健康，出现典型胸痛症状。其心电图显示V1-V4导联ST段抬高，超声心动图显示前间隔壁运动减弱，射血分数为45%。冠状动脉造影显示冠状动脉正常。甲状腺功能检查显示游离T4水平升高，促甲状腺激素（TSH）降低。使用硫代酰胺类药物和β受体阻滞剂治疗后症状改善。4个月后复查时他情况良好。重复超声心动图显示射血分数良好，无运动减弱区域。