Severe Hyperthyroidism Presenting with Acute ST Segment Elevation Myocardial Infarction

الملخص EN

Introduction.

Acute myocardial infarction is life-threatening.

A cardiac troponin rise accompanied by typical symptoms, ST elevation or depression is diagnostic of acute myocardial infarction.

Here, we report an unusual case of a female who was admitted with chest pain.

However, she did not present with a typical profile of an acute myocardial infarction patient.

Case Presentation.

A 66-year-old Han nationality female presented with chest pain.

The electrocardiogram (ECG) revealed arched ST segment elevations and troponin was elevated.

However, the coronary angiography showed a normal coronary arterial system.

Thyroid function tests showed that this patient had severe hyperthyroidism.

Conclusion.

Our case highlights the possibility that hyperthyroidism may cause a large area of myocardium injury and ECG ST segment elevation.

We suggest routine thyroid function testing in patients with chest pain.