St-segment elevation acute myocardial infarction in a patient with acromegaly: a case report and literature review.
Acromegaly is a disorder caused by the excess production of pituitary growth hormone and is characterized by the enlargement of the hands, feet and head. Increased morbidity and mortality with acromegaly is associated with cardiovascular complications, hypertension, glucose intolerance, cardiomyopathy and coronary artery disease. We report a case of acromegaly, which presented with ST-segment elevation acute myocardial infarction. The patient received successful primary transluminal coronary angioplasty with stent implantation. Acromegaly was suspected from typical appearance, and confirmed with hormonal examination and imaging of the pituitary mass. We discuss this case in comparison with previous literature.
Lu
Ming-Ying
MY
Department of Internal Medicine, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Hsiao
Pi-Jung
PJ
Lin
Tsung-Hsien
TH
Su
Ho-Ming
HM
Voon
Wen-Chol
WC
Lai
Wen-Ter
WT
Sheu
Sheng-Hsiung
SH
D000172:Acromegaly / Q000150:complications* / Q000503:physiopathology / Q000628:therapy; D000208:Acute Disease; D000368:Aged; D004562:Electrocardiography; D004730:Endothelium, Vascular / Q000502:physiology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D009203:Myocardial Infarction / Q000209:etiology*