Graves thyrotoxicosis and coronary artery spasm

The patient made a good recovery and was discharged on carbimazole 40 mg daily before radioactive iodine therapy. Since restoration of euthyroidism, the patient has remained free of pain. Reports in patients with coronary artery spasm associated with thyrotoxicosis have shown that once euthyroid, pa...

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Bibliographic Details
Published in:Postgraduate medical journal 2007-11, Vol.83 (985), p.e5-e5
Main Authors: Chudleigh, R A, Davies, J S
Format: Article
Language:English
Subjects:
Adult
Angina pectoris
Blood clots
Cardiovascular disease
Case Report
coronary artery spasm
Coronary Vasospasm - etiology
Coronary vessels
Electrocardiography
Female
Graves Disease - complications
Graves thyrotoxicosis
Heart attacks
Humans
Hyperthyroidism
Iodine
Medical imaging
Middle Aged
myocardial infarction
Pain
Thyroid gland
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Summary:The patient made a good recovery and was discharged on carbimazole 40 mg daily before radioactive iodine therapy. Since restoration of euthyroidism, the patient has remained free of pain. Reports in patients with coronary artery spasm associated with thyrotoxicosis have shown that once euthyroid, patients become free of angina. 4 Our first case illustrates that a relapse of thyrotoxicosis exposes patients to the risks associated with coronary artery spasm; hence the need to ensure euthyroidism. [...]we elected to use early definitive treatment.
ISSN:0032-5473
1469-0756
DOI:10.1136/pgmj.2007.062299