表现为不稳定型心绞痛和室性心动过速且冠状动脉正常的甲状腺毒症。

Ahmadpour H, Edmiston W A, de Guzman M, Haywood L J

J Natl Med Assoc. 1980 Sep;72(9):891-5.

A 38-year-old black woman with thyrotoxicosis, whose first symptom was angina pectoris, is described. Chest pain became progressively more frequent, and an unstable angina pattern developed. Angina attacks were associated with transient ischemic electrocardiographic changes and recurrent ventricular tachycardia was documented. Coronary angiography revealed no significant obstructive lesions. The patient became free of pain with antithyroid treatment and angina has not recurred.It is important to recognize that angina pectoris may be the major presenting symptom of thyrotoxicosis; unstable angina requires careful work-up and management including the performance of coronary angiography.

本文描述了一位38岁的甲状腺毒症黑人女性，其首发症状为心绞痛。胸痛发作频率逐渐增加，并发展为不稳定型心绞痛。心绞痛发作与短暂性缺血性心电图改变相关，并有反复发作的室性心动过速记录。冠状动脉造影显示无明显阻塞性病变。患者经抗甲状腺治疗后疼痛消失，心绞痛未再复发。认识到心绞痛可能是甲状腺毒症的主要首发症状很重要；不稳定型心绞痛需要仔细检查和处理，包括进行冠状动脉造影。