Left Main Coronary Artery Spasm in a Hyperthyroid Patient with Suspected Acute Coronary Syndrome

The left main coronary artery (LMCA) vasospasm is rare. We report a suspected acute coronary syndrome patient with hyperthyroidism who had LMCA vasospasm. Coronary angiogram showed 60% stenosis at LMCA. After administering nitroglycerin, re-angiography showed no significant stenosis. Then we evaluat...

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Autores principales: Wang, De-zhao, Hu, Hong-yu, Fu, Qiang, Chen, Wei, Hua, Xu, Chen, Bu-xing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Professional Medical Publicaitons 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3858950/
https://www.ncbi.nlm.nih.gov/pubmed/24353739
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author Wang, De-zhao
Hu, Hong-yu
Fu, Qiang
Chen, Wei
Hua, Xu
Chen, Bu-xing
author_facet Wang, De-zhao
Hu, Hong-yu
Fu, Qiang
Chen, Wei
Hua, Xu
Chen, Bu-xing
author_sort Wang, De-zhao
collection PubMed
description The left main coronary artery (LMCA) vasospasm is rare. We report a suspected acute coronary syndrome patient with hyperthyroidism who had LMCA vasospasm. Coronary angiogram showed 60% stenosis at LMCA. After administering nitroglycerin, re-angiography showed no significant stenosis. Then we evaluated LMCA lesion using intravascular ultrasound (IVUS) showing no significant stenosis. We considered that it was a LMCA vasospasm and may be assosiated with hyperthyroid state. After anti-thyroid and anti-spasm treatment, chest pain subsided. In conclusion, hyperthyroidism induced coronary hypersensitivity may contribute to LMCA vasospasm as seen in this case. IVUS may be useful to identify coronary vasospasm.
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spelling pubmed-38589502013-12-18 Left Main Coronary Artery Spasm in a Hyperthyroid Patient with Suspected Acute Coronary Syndrome Wang, De-zhao Hu, Hong-yu Fu, Qiang Chen, Wei Hua, Xu Chen, Bu-xing Pak J Med Sci Case Report The left main coronary artery (LMCA) vasospasm is rare. We report a suspected acute coronary syndrome patient with hyperthyroidism who had LMCA vasospasm. Coronary angiogram showed 60% stenosis at LMCA. After administering nitroglycerin, re-angiography showed no significant stenosis. Then we evaluated LMCA lesion using intravascular ultrasound (IVUS) showing no significant stenosis. We considered that it was a LMCA vasospasm and may be assosiated with hyperthyroid state. After anti-thyroid and anti-spasm treatment, chest pain subsided. In conclusion, hyperthyroidism induced coronary hypersensitivity may contribute to LMCA vasospasm as seen in this case. IVUS may be useful to identify coronary vasospasm. Professional Medical Publicaitons 2013 /pmc/articles/PMC3858950/ /pubmed/24353739 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Wang, De-zhao
Hu, Hong-yu
Fu, Qiang
Chen, Wei
Hua, Xu
Chen, Bu-xing
Left Main Coronary Artery Spasm in a Hyperthyroid Patient with Suspected Acute Coronary Syndrome
title Left Main Coronary Artery Spasm in a Hyperthyroid Patient with Suspected Acute Coronary Syndrome
title_full Left Main Coronary Artery Spasm in a Hyperthyroid Patient with Suspected Acute Coronary Syndrome
title_fullStr Left Main Coronary Artery Spasm in a Hyperthyroid Patient with Suspected Acute Coronary Syndrome
title_full_unstemmed Left Main Coronary Artery Spasm in a Hyperthyroid Patient with Suspected Acute Coronary Syndrome
title_short Left Main Coronary Artery Spasm in a Hyperthyroid Patient with Suspected Acute Coronary Syndrome
title_sort left main coronary artery spasm in a hyperthyroid patient with suspected acute coronary syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3858950/
https://www.ncbi.nlm.nih.gov/pubmed/24353739
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