[Coronary disease in hypothyroidism. 10 case reports].
The hypothyroidism and coronary disease are tightly related. Our retrospective study, based upon the data from ten patients with hypothyroidism and coronary disease, aimed to assess the diagnosis, the prognosis and the therapeutic measures in these patients. Our population aged in average 60 years and was almost composed with women. Acute Coronary syndrome was a circumstance to discover hypothyroidism three patients. Bi and tritruncular stenosis were found in seven of the patients. The mean number of coronary lesion by patient is 2, 1. Myocardial reperfusion was proposed in seven of the patients. The three remainders were treated medically. Among the six operated patients, three were insufficiently prepared by the opotherapy. One of these patients died in preoperative period. The only patient who underwent angioplasty presented an uneventful period. At short and long term follow-up the evolution of all survivors patients was satisfactory on the both coronary and thyroidal sides. During the course of hypothyroidism coronary lesions are more extended, complex and severe. The management of such patients is difficult because of destabilisation of affection by the treatment of the other one. Preventive measures seams to warrant the best result.
Ben Ameur
Youssef
Y
Service de cardiologie Hôpital Habib Thameur Tunis, Tunisie.
Yaacoub
Alia
A
Haggui
Abdeddayem
A
Terras
Mouna
M
Battikh
Kaïes
K
Longo
Selma
S
Kraiem
Sondos
S
Slimane
Mohamed Lotfi
ML
D000368:Aged; D005260:Female; D006331:Heart Diseases / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007037:Hypothyroidism / Q000150:complications*; D008297:Male; D008875:Middle Aged; D015425:Myocardial Reperfusion; D011379:Prognosis; D012189:Retrospective Studies