Acute myocardial infarction in pregnancy: spasm caused by hyperthyroidism?

We present a 26-year-old woman with ST-segment elevation myocardial infarction in the 14th week of pregnancy. Coronary angiography revealed no abnormalities in the coronary arteries. She had no history of coronary risk factors such as smoking, diabetes mellitus, hypertension, or dyslipidemia. Althou...

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Main Authors: LingQing Wang, JianGuang Yang, JiPing Zheng, XingJian Gu
Format: Article
Language:English
Published: SAGE Publishing 2019-05-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/0300060519837833
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author LingQing Wang
JianGuang Yang
JiPing Zheng
XingJian Gu
author_facet LingQing Wang
JianGuang Yang
JiPing Zheng
XingJian Gu
author_sort LingQing Wang
collection DOAJ
description We present a 26-year-old woman with ST-segment elevation myocardial infarction in the 14th week of pregnancy. Coronary angiography revealed no abnormalities in the coronary arteries. She had no history of coronary risk factors such as smoking, diabetes mellitus, hypertension, or dyslipidemia. Although we do not have direct evidence of coronary spasm in this patient, several factors suggest that coronary spasm is the most likely cause of myocardial infarction. We suspect that hyperthyroidism may have played an important role in coronary spasm in this patient. Early use of coronary angiography is helpful to identify the types of coronary artery lesions.
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spelling doaj.art-1a57d115f24e4c74af90fc4083ac93972022-12-21T17:34:15ZengSAGE PublishingJournal of International Medical Research0300-06051473-23002019-05-014710.1177/0300060519837833Acute myocardial infarction in pregnancy: spasm caused by hyperthyroidism?LingQing WangJianGuang YangJiPing ZhengXingJian GuWe present a 26-year-old woman with ST-segment elevation myocardial infarction in the 14th week of pregnancy. Coronary angiography revealed no abnormalities in the coronary arteries. She had no history of coronary risk factors such as smoking, diabetes mellitus, hypertension, or dyslipidemia. Although we do not have direct evidence of coronary spasm in this patient, several factors suggest that coronary spasm is the most likely cause of myocardial infarction. We suspect that hyperthyroidism may have played an important role in coronary spasm in this patient. Early use of coronary angiography is helpful to identify the types of coronary artery lesions.https://doi.org/10.1177/0300060519837833
spellingShingle LingQing Wang
JianGuang Yang
JiPing Zheng
XingJian Gu
Acute myocardial infarction in pregnancy: spasm caused by hyperthyroidism?
Journal of International Medical Research
title Acute myocardial infarction in pregnancy: spasm caused by hyperthyroidism?
title_full Acute myocardial infarction in pregnancy: spasm caused by hyperthyroidism?
title_fullStr Acute myocardial infarction in pregnancy: spasm caused by hyperthyroidism?
title_full_unstemmed Acute myocardial infarction in pregnancy: spasm caused by hyperthyroidism?
title_short Acute myocardial infarction in pregnancy: spasm caused by hyperthyroidism?
title_sort acute myocardial infarction in pregnancy spasm caused by hyperthyroidism
url https://doi.org/10.1177/0300060519837833
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AT jianguangyang acutemyocardialinfarctioninpregnancyspasmcausedbyhyperthyroidism
AT jipingzheng acutemyocardialinfarctioninpregnancyspasmcausedbyhyperthyroidism
AT xingjiangu acutemyocardialinfarctioninpregnancyspasmcausedbyhyperthyroidism