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Thyroid and Heart: Severe Three Vessel Coronary Artery Disease in a Middle-Aged Female with Hypothyroidism
Hypothyroidism is a common medical condition. The low metabolic state in hypothyroidism leads to significant cardiovascular and hemodynamic changes. Hypothyroidism is associated with heart failure, diastolic hypertension, atherosclerosis, coronary artery disease (CAD), and decreased insulin sensitiv...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6897348/ https://www.ncbi.nlm.nih.gov/pubmed/31857927 http://dx.doi.org/10.7759/cureus.6095 |
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author | Muneer, Ramsha Naqvi, Syed Arsalan Ahmed Gul, Owais Zaidi, Syed Danish H Dar, Mudassir Iqbal |
author_facet | Muneer, Ramsha Naqvi, Syed Arsalan Ahmed Gul, Owais Zaidi, Syed Danish H Dar, Mudassir Iqbal |
author_sort | Muneer, Ramsha |
collection | PubMed |
description | Hypothyroidism is a common medical condition. The low metabolic state in hypothyroidism leads to significant cardiovascular and hemodynamic changes. Hypothyroidism is associated with heart failure, diastolic hypertension, atherosclerosis, coronary artery disease (CAD), and decreased insulin sensitivity. Similarly, the administration of levothyroxine worsens the cardiovascular disease by establishing a supply-demand mismatch. Here, we present a case of a 45-year-old woman with hypothyroidism who presented to us with exertional chest pain and later got diagnosed with severe three-vessel disease. Coronary artery bypass grafting (CABG) surgery was planned after the establishment of euthyroid state. |
format | Online Article Text |
id | pubmed-6897348 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-68973482019-12-19 Thyroid and Heart: Severe Three Vessel Coronary Artery Disease in a Middle-Aged Female with Hypothyroidism Muneer, Ramsha Naqvi, Syed Arsalan Ahmed Gul, Owais Zaidi, Syed Danish H Dar, Mudassir Iqbal Cureus Endocrinology/Diabetes/Metabolism Hypothyroidism is a common medical condition. The low metabolic state in hypothyroidism leads to significant cardiovascular and hemodynamic changes. Hypothyroidism is associated with heart failure, diastolic hypertension, atherosclerosis, coronary artery disease (CAD), and decreased insulin sensitivity. Similarly, the administration of levothyroxine worsens the cardiovascular disease by establishing a supply-demand mismatch. Here, we present a case of a 45-year-old woman with hypothyroidism who presented to us with exertional chest pain and later got diagnosed with severe three-vessel disease. Coronary artery bypass grafting (CABG) surgery was planned after the establishment of euthyroid state. Cureus 2019-11-08 /pmc/articles/PMC6897348/ /pubmed/31857927 http://dx.doi.org/10.7759/cureus.6095 Text en Copyright © 2019, Muneer et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Endocrinology/Diabetes/Metabolism Muneer, Ramsha Naqvi, Syed Arsalan Ahmed Gul, Owais Zaidi, Syed Danish H Dar, Mudassir Iqbal Thyroid and Heart: Severe Three Vessel Coronary Artery Disease in a Middle-Aged Female with Hypothyroidism |
title | Thyroid and Heart: Severe Three Vessel Coronary Artery Disease in a Middle-Aged Female with Hypothyroidism |
title_full | Thyroid and Heart: Severe Three Vessel Coronary Artery Disease in a Middle-Aged Female with Hypothyroidism |
title_fullStr | Thyroid and Heart: Severe Three Vessel Coronary Artery Disease in a Middle-Aged Female with Hypothyroidism |
title_full_unstemmed | Thyroid and Heart: Severe Three Vessel Coronary Artery Disease in a Middle-Aged Female with Hypothyroidism |
title_short | Thyroid and Heart: Severe Three Vessel Coronary Artery Disease in a Middle-Aged Female with Hypothyroidism |
title_sort | thyroid and heart: severe three vessel coronary artery disease in a middle-aged female with hypothyroidism |
topic | Endocrinology/Diabetes/Metabolism |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6897348/ https://www.ncbi.nlm.nih.gov/pubmed/31857927 http://dx.doi.org/10.7759/cureus.6095 |
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