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Left main coronary artery spasm in a hyperthyroid patient with suspected acute coronary syndrome

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收录情况： ◇ SCIE

作者：

机构： [1]Capital Med Univ, Tiantan Hosp, Dept Cardiol, Beijing 100050, Peoples R China; [2]Capital Med Univ, Tiantan Hosp, Dept Cariol, 6 Tiantanxili, Beijing 100050, Peoples R China

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关键词： Coronary angiography Hyperthyroidism Intravascular ultrasound Left main coronary artery Vasospasm

摘要：

The left main coronary artery (LMCA) vasospasm is rare. We report a suspected acute coronary syndrome patient with hyperthyroidism who had LMCA vasospasm. Coronary angiogram showed 60% stenosis at LMCA. After administering nitroglycerin, re-angiography showed no significant stenosis. Then we evaluated LMCA lesion using intravascular ultrasound (IVUS) showing no significant stenosis. We considered that it was a LMCA vasospasm and may be assosiated with hyperthyroid state. After anti-thyroid and anti-spasm treatment, chest pain subsided. In conclusion, hyperthyroidism induced coronary hypersensitivity may contribute to LMCA vasospasm as seen in this case. IVUS may be useful to identify coronary vasospasm.

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中科院(CAS)分区：

出版当年[2012]版：

大类 | 4 区医学

小类 | 4 区医学：内科

最新[2023]版：

大类 | 4 区医学

小类 | 4 区医学：内科

JCR分区：

出版当年[2011]版：

Q4 MEDICINE, GENERAL & INTERNAL

最新[2023]版：

Q2 MEDICINE, GENERAL & INTERNAL

影响因子： 1.2 最新[2023版] 1.6 最新五年平均 0.161 出版当年[2011版] 0 出版当年五年平均 0.166 出版前一年[2010版] 0.101 出版后一年[2012版]

第一作者：

第一作者机构： [1]Capital Med Univ, Tiantan Hosp, Dept Cardiol, Beijing 100050, Peoples R China;

通讯作者：

通讯机构： [1]Capital Med Univ, Tiantan Hosp, Dept Cardiol, Beijing 100050, Peoples R China; [2]Capital Med Univ, Tiantan Hosp, Dept Cariol, 6 Tiantanxili, Beijing 100050, Peoples R China

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