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題名 | Unstable Angina with Normal Coronary Angiography in Hyperthyroidism: A Case Report=甲狀腺機能亢進併正常冠狀動脈攝影的不穩定狹心症--病例報告 |
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作者姓名(中文) | 林宗憲; 蘇河名; 溫文才; 賴文德; 許勝雄; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 21:1 民94.01 |
頁次 | 頁29-33 |
分類號 | 415.931 |
關鍵詞 | 狹心症; 不穩定型狹心症; 甲狀腺機能亢進; Angina pectoris; Unstable angina; Hyperthyroidism; |
語文 | 英文(English) |
中文摘要 | 藉由增加氧氣的需求,甲狀腺機能亢進造成氧氣供需不平衡而造成心狡痛的發作。然而甲狀腺機能亢進的病人很少一開始以休息時胸痛發作來表現。在此篇文章我們報告一位懷疑有甲狀腺機能亢進的 58 歲男性,其主訴休息時頻繁的胸痛且心電圖顯示典型狹心症的變化。然而其心導管檢查卻為正常。實驗室的檢查確定甲狀腺機能亢進的診斷。病人的胸痛在抗甲狀腺藥物的治療後消失。這個病例提醒我們典型的心狡痛可以是甲狀腺機能亢進的一開始表現。 |
英文摘要 | Hyperthyroidism is associated with an increase in myocardial oxygen consumption that, due to an imbalance of oxygen demand and supply, can cause angina. However, subclinical hyperthyroidism rarely presents as chest pain in the resting state. Herein, we present a case of subclinical hyperthyroidism involving a 58-year-old male who complained of frequent chest tightness and typical electrocardiographic changes while in a resting state. Coronary angiography showed no significant lesion. Laboratory data showed that the patient suffered from hyperthyroidism, for which he was successfully treated with anti-thyroid agents. We are reminded that typical chest pain might be the first symptom of hyperthyroidism. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。