Sea como fuere, el tratamiento prolongado con nitratos se suele acompañar de En aquellos pacientes que presentan angina de Prinzmetal sobre un fondo de . We present 2 cases of severe vasospastic angina resistant to intensive medical vagal tone associated with thyrotoxicosis triggers prinzmetal variant angina and Un tratamiento a tener en cuenta en la tirotoxicosis inducida por amiodarona. S: Coronary arterial spasm and Prinzmetal’s variant form of angina induced by hyperventilation and Tris-buffer infusion. Circulation 56, A lead ECG was obtained. From the Cattedra di Fisiopatologia Cardiorespiratoria dell.

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Thyrotoxicosis-Induced Vasospastic Angina

Iberoamerican Cardiovascular Journals Editors’ Network. You can change the settings or obtain more information by clicking here. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.

The duration of the follow-up period was 14 months. The main characteristic of the initial clinical course was the difficult management, with frequent anginal episodes, despite the use of fiiopatologia calcium antagonists and nitrates.

Three months after the procedure, he was readmitted with unstable angina after detection of transient precordial ST elevation and slight enzymatic elevation. These manuscripts contain updated topics with a major clinical or conceptual relevance in modern medicine. The angna manuscript strengthens the hypothesis concerning causality in prunzmetal association between hyperthyroidism and vasospastic angina, which, if sufficiently prolonged, can provoke myocardial infarction.

Two weeks later, he was readmitted with the same clinical signs and symptoms and the same electrical changes, accompanied by anxiety and resting tremor. The free thyroxine level was 6.

Thyrotoxicosis-Induced Vasospastic Angina | Revista Española de Cardiología (English Edition)

After having experienced several documented episodes of atrial fibrillation and nonsustained ventricular tachycardia, the patient began to receive treatment with amiodarone, in addition to the carvedilol that he was already taking. We present 2 cases of severe vasospastic angina resistant to intensive medical treatment.


The journal adheres to the standards of academic research publications in all aspects including peer-review and ethical principles. SRJ is a prestige metric based on the idea that not all citations are the same.

Are you a health professional able to prescribe or dispense drugs? A year-old man was brought to our hospital with acute myocardial infarction and fisiiopatologia ST elevation. On the other hand, the control of hyperthyroidism proved impossible, despite the use of antithyroid drugs and the discontinuation of amiodarone.

Once the diagnosis of hyperthyroidism is established, medical treatment usually suffices, although, in severe cases, most of which are induced by amiodarone, thyroidectomy may be necessary. Calls from Spain 88 87 40 9 to 18 hours.

Angina de Prinzmetal & Sd de Takotsubo by Diego Cañar on Prezi

CiteScore measures average citations received per document published. He underwent primary angioplasty with conventional stent implantation in mid ADA.

This time, coronary angiography revealed diffuse spasm in mid-distal ADA Figure 2which was controlled with intracoronary nitroglycerin. The atenolol that had originally been prescribed was discontinued. Subscribe to our Newsletter. For the management of this entity, it is essential to control the thyroid activity, which can be curative in itself, obviating the need for subsequent antianginal therapy, 5 especially if there is no accompanying heart disease.

The cardiovascular effects of hyperthyroidism are well known, and are associated with a hyperadrenergic state and an agonist effect of calcium in the myocardium.

Hospital General Universitario de Alicante. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years.


Previous Article Vol The authors wish to thank the reviewers for their comments and the suggested modifications, which contributed considerably to improving the manuscript.

Continuing navigation will be considered as acceptance anguna this use. Finally, the patient underwent total thyroidectomy, without subsequent recurrence of anginal episodes, even after the calcium antagonists were discontinued 2 months after the surgical procedure.

Forty-eight hours later, a level of free thyroxine of 4. The episodes anginx angina at rest were uncontrollable until diagnosis and proper treatment of the concomitant hyperthyroidism, the onset of which was nearly asymptomatic. One year after the initiation of this medication, he was admitted to the hospital with unstable angina, with mild electrical and enzymatic changes.

A repeated coronary angiography revealed a diffuse, severe spontaneous angia of anterior descending artery ADA Figure 1which reproduced the admission clinical onset. Se continuar a navegar, consideramos que aceita o seu uso. With a diagnosis of Graves’ disease, the hyperthyroidism was controlled with carbimazole, and the patient has remained asymptomatic after 8 months of follow-up with no need for calcium antagonists, which were discontinued 45 days after he was discharged.

Si continua navegando, consideramos que acepta su uso. Print Send to a friend Export reference Mendeley Statistics. A second catheterization ruled out complications associated with the previously implanted stent fsiiopatologia, as well a development of new lesions, and the patient was discharged on calcium antagonists and nitrates. Subscriber If you already have your login data, please click here.

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