Proskey A J, Saksena F, Towne W D
Chest. 1977 Jul;72(1):109-11. doi: 10.1378/chest.72.1.109.
Myocardial infarction occurs rarely with thyrotoxicosis. A 34-year-old woman with thyrotoxicosis sustained a transmural myocardial infarction and subsequently on cardiac catheterization studies had no significant coronary arterial disease but only residual apical wall akinesia. Thyroid hormone may directly influence myocardial oxygen supply and demand and, by some unknown mechanism exclusive of major coronary arterial blood supply, cause a critical imbalance resulting in angina pectoris and myocardial infarction.
甲状腺毒症很少并发心肌梗死。一名34岁甲状腺毒症女性发生透壁性心肌梗死，随后心脏导管检查显示无明显冠状动脉疾病，仅遗留心尖壁运动不能。甲状腺激素可能直接影响心肌的氧供和氧需，并通过某种不依赖主要冠状动脉血液供应的未知机制，导致严重失衡，从而引发心绞痛和心肌梗死。
