A case of hypothyroidism mimicking acute coronary syndrome.
Hypothyroid patients have increased concentrations of creatinine kinase that is mostly due to increased CK-MM. However, CK-MB has also been reported to increase above reference values in hypothyroid patients without apparent myocardial damage. This may create confusion during the evaluation of myocardial injury in a hypothyroid patient presenting with chest pain. Troponin I is considered as a superior marker for the diagnosis of myocardial infarction in hypothyroid patients. However, there are some reports showing an increase in the level of troponin I without any myocardial damage in hypothyroid patients as in our case. In this report, we present a 47 years old male hypothyroid patient who had chest pain, abnormal electrocardiographic findings and increased cardiac enzymes suggesting acute coronary syndrome although he had normal coronary arteriogram.
Gunduz
Huseyin
H
Department of Internal Medicine and Cardiology, Izzet Baysal Medical Faculty, Izzet Baysal University, Bolu, 14100, Turkey. drhuseyingunduz@yahoo.com
Arinc
Huseyin
H
Yolcu
Mustafa
M
Akdemir
Ramazan
R
Kanat
Mustafa
M
Uyan
Cihangir
C
D000208:Acute Disease; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003402:Creatine Kinase / Q000097:blood; D052279:Creatine Kinase, MB Form / Q000097:blood; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006801:Humans; D007037:Hypothyroidism / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis; D013974:Thyroxine / Q000627:therapeutic use
D003402:Creatine Kinase; D052279:Creatine Kinase, MB Form; D013974:Thyroxine