Eouzan-Dahan Laura, Neyret Alexandre, Wajchert Thibaut, Desforges-Bullet Virginie, Gibault-Genty Géraldine, Georges Jean-Louis
Service de cardiologie, Centre Hospitalier de Versailles, Hôpital André Mignot, Le Chesnay-Rocquencourt, France; Service d'accueil des urgences, Centre Hospitalier de Versailles, Hôpital André Mignot, Le Chesnay-Rocquencourt, France.
Service de cardiologie, Centre Hospitalier de Versailles, Hôpital André Mignot, Le Chesnay-Rocquencourt, France.
Ann Cardiol Angeiol (Paris). 2024 Nov;73(5):101808. doi: 10.1016/j.ancard.2024.101808. Epub 2024 Sep 21.
The relationships between the thyroid and the heart are close and complex. In rare cases, hyperthyroidism induced by Graves' disease can be complicated by an acute myocarditis, which may be life-threatening. We report the case of a 41-year-old woman with Graves' disease not controlled by antithyroid drugs, hospitalized for odynophagia, palpitations due to atrial fibrillation, diffuse ST elevation on ECG and an increase in cardiac troponin. Coronary angiography was normal, cardiac MRI confirmed acute myocarditis. The evolution was favorable after a phase marked by supraventricular and ventricular rhythm disorders. The diagnostic and therapeutic challenge of this association are discussed, with a review of the literature.
甲状腺与心脏的关系密切且复杂。在极少数情况下,格雷夫斯病引起的甲状腺功能亢进可能并发急性心肌炎,这可能危及生命。我们报告一例41岁女性格雷夫斯病患者,抗甲状腺药物治疗无效,因吞咽痛、房颤引起的心悸、心电图弥漫性ST段抬高及心肌肌钙蛋白升高入院。冠状动脉造影正常,心脏磁共振成像确诊为急性心肌炎。经过一段以室上性和室性心律失常为特征的时期后,病情好转。本文讨论了这种关联的诊断和治疗挑战,并对相关文献进行了综述。