A case of hypothyroidism mimicking acute coronary syndrome


GUNDUZ H., ARINC H., YOLCU M., AKDEMIR R., Kanat M. , UYAN C.

INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING, cilt.22, ss.141-145, 2006 (SCI İndekslerine Giren Dergi)

  • Cilt numarası: 22 Konu: 2
  • Basım Tarihi: 2006
  • Doi Numarası: 10.1007/s10554-005-9011-5
  • Dergi Adı: INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING
  • Sayfa Sayısı: ss.141-145

Özet

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.