A Case of Angina Manifested by ST-segment Elevation during Exercise in Patient with Situs Inversus and Hyperthyroidism.
10.4070/kcj.1999.29.11.1245
- Author:
Kook Jin CHUN
;
Taek Jong HONG
;
Yung Woo SHIN
- Publication Type:Case Report
- Keywords:
Angina;
Hyperthyroidism;
Situs inversus
- MeSH:
Coronary Disease;
Dextrocardia;
Humans;
Hyperthyroidism*;
Myocardial Ischemia;
Situs Inversus*;
Thyrotoxicosis
- From:Korean Circulation Journal
1999;29(11):1245-1249
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Ischemic heart disease is a common complication of thyrotoxicosis, although the exact mechanism has not been defined. In patient with dextrocardia as a part of situs inversus, coronary heart disease may occur with similar frequency and manifestation as in the general population. A case is reported of angina and thyrotoxicosis in patient with situs inversus totalis in which the angina was manifested by ST-segment elevation during graded exercise, relieved by antithyroid treatment. This unusual case establishes an association between hyperthy-roidism and ischemic heart disease.