title: Paroxysmal atrial fibrillation during acute myocardial infarction associated with subclinical hyperthyroidism, severe three vessels coronary artery disease and elevation of prostate-specific antigen after TURP.
abstract: Subclinical hyperthyroidism is an increasingly recognized entity that is defined as a normal serum free thyroxine and free triiodothyronine levels with a thyroid-stimulating hormone level suppressed below the normal range and usually undetectable. Paroxysmal atrial fibrillation is a frequent complication of acute myocardial infarction. It has been reported that subclinical hyperthyroidism is not associated with CHD or mortality from cardiovascular causes but it is sufficient to induce an increase in atrial fibrillation rate and increased factor X activity in patients with subclinical hyperthyroidism represents a potential hypercoagulable state. It has also been reported that serum prostate-specific antigen (PSA) decreases drastically in patients who undergo transurethral resection of the prostate(TURP). We present a case of paroxysmal atrial fibrillation during acute myocardial infarction associated with subclinical hyperthyroidism, severe three vessels coronary artery disease and elevation of PSA after TURP in a 78-year-old Italian man.
authors.affiliation: Cardiologia Nuovo Presidio Ospedaliero Cutroni Zodda-Barcellona PdGMe AUSL5 Messina, Italy. patane-@libero.it
authors.forename: Salvatore
authors.initials: S
authors.lastname: Patanè
authors.forename: Filippo
authors.initials: F
authors.lastname: Marte
mesh_terms: D000368:Aged; D001281:Atrial Fibrillation / Q000209:etiology*; D003324:Coronary Artery Disease / Q000150:complications*; D006801:Humans; D006980:Hyperthyroidism / Q000150:complications*; D008297:Male; D009203:Myocardial Infarction / Q000150:complications*; D011184:Postoperative Period; D017430:Prostate-Specific Antigen / Q000097:blood*; D012720:Severity of Illness Index; D020728:Transurethral Resection of Prostate
chemical_list: D017430:Prostate-Specific Antigen