관상동맥 연축으로 진단되는 갑상선중독증 환자의 임상적 특징
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김기원 | - |
dc.contributor.author | 이세환 | - |
dc.contributor.author | 전성완 | - |
dc.contributor.author | 김여주 | - |
dc.contributor.author | 김상진 | - |
dc.date.accessioned | 2021-08-12T01:46:27Z | - |
dc.date.available | 2021-08-12T01:46:27Z | - |
dc.date.created | 2021-06-17 | - |
dc.date.issued | 2013 | - |
dc.identifier.issn | 2384-3799 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/14424 | - |
dc.description.abstract | Background and Objectives: Cardiovascular symptoms are integral and often the most predominant clinical presentation in patients with thyrotoxicosis. In patients with known or suspected coronary artery disease, myocardial ischemia and angina-like chest pain may be presented due to increase in cardiac output and cardiac contractility as a result of thyrotoxicosis. In addition, coronary spasm may result in angina-like chest pain in thyrotoxicosis patients without any fixed coronary artery stenosis. However, there are few reports about clinical characteristics of thyrotoxicosis associated with coronary artery spasm. Materials and Methods: Coronary angiography, thyroid function test, and follow-up clinical data of patients were analyzed retrospectively. Results: Twelve patients with coronary artery spasm were included over 4.5 years (male:female, 5:7). The mean age of patients was 53.3 years (range, 27 to 68), and female patients were younger than male patients (mean, 56.2 vs. 51.2 years). Only 4 patients (33%) presented typical thyrotoxic symptoms. The causes of thyrotoxicosis were Grave’s disease (75%) and painless thyroiditis (25%). On coronary angiography, severe coronary spasm was observed by provocation in 6 patients, and total occlusion of right coronary artery and left circumflex artery with chest pain developed in 2 of 6 patients. After antithyroid treatment, all patients became free of chest pain. Conclusion: Severe coronary artery spasm can be associated with thyrotoxicosis. Thyroid function test might be a differential diagnostic test in patients with coronary artery spasm. It should be considered that thyrotoxicosis can be presented by coronary artery spasm without typical symptom of thyrotoxicosis. | - |
dc.language | 한국어 | - |
dc.language.iso | ko | - |
dc.publisher | 대한갑상선학회 | - |
dc.title | 관상동맥 연축으로 진단되는 갑상선중독증 환자의 임상적 특징 | - |
dc.title.alternative | Clinical Characteristics of Thyrotoxicosis Presented by Coronary Spasm | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | 이세환 | - |
dc.contributor.affiliatedAuthor | 전성완 | - |
dc.contributor.affiliatedAuthor | 김여주 | - |
dc.contributor.affiliatedAuthor | 김상진 | - |
dc.identifier.bibliographicCitation | International Journal of Thyroidology, v.6, no.1, pp.64 - 68 | - |
dc.relation.isPartOf | International Journal of Thyroidology | - |
dc.citation.title | International Journal of Thyroidology | - |
dc.citation.volume | 6 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 64 | - |
dc.citation.endPage | 68 | - |
dc.type.rims | ART | - |
dc.identifier.kciid | ART001789351 | - |
dc.description.journalClass | 2 | - |
dc.description.journalRegisteredClass | kci | - |
dc.description.journalRegisteredClass | other | - |
dc.subject.keywordAuthor | 갑상선중독증 | - |
dc.subject.keywordAuthor | 관상동맥 연축 | - |
dc.subject.keywordAuthor | Thyrotoxicosis | - |
dc.subject.keywordAuthor | Coronary vasospasm | - |
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