[Multi-vasospastic angina refractory to medical therapy caused by hyperthyroid stage of chronic thyroiditis and hypereosinophilia: a case report].
A 49-year-old woman with bronchial asthma was followed up at our hospital. After 3 years, she experienced an attack of chest pain with ST elevation in the precordal leads of electrocardiography. After admission, the chest pain and ST elevation disappeared, but the chest pain recurred after 6 days. Coronary angiography revealed no significant stenosis in the coronary arteries. After discharge, she had the chest pain repeatedly. ST elevation in the II, III, aVF leads was recorded. The diagnosis was coronary multispasm. The chest pain was refractory to medical therapy. Hypereosinophilia developed and bronchial asthma worsened. After steroid administration, the angina and bronchial asthma ceased. She has lost about 15 kg during 1 year. Laboratory data revealed low thyroid-stimulating hormone, high thyroid hormone, positive thyroglobulin antibody, and negative thyroid-stimulating hormone receptor antibody. The diagnosis was chronic thyroiditis. The multi-vasospastic angina refractory to medical therapy was caused by the hyperthyroid stage of chronic thyroiditis and hypereosinophilia.
Okada
H
H
Department of Cardiology, Seirei Hamamatsu General Hospital, Shizuoka.
Koganei
H
H
Yoshioka
S
S
Enta
K
K
Suzuki
K
K
Kato
J
J
Oka
T
T
D000787:Angina Pectoris / Q000209:etiology*; D002908:Chronic Disease; D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000209:etiology*; D004562:Electrocardiography; D004802:Eosinophilia / Q000150:complications*; D005260:Female; D006801:Humans; D008875:Middle Aged; D013966:Thyroiditis / Q000150:complications*