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.
|Published (Last):||24 December 2016|
|PDF File Size:||7.26 Mb|
|ePub File Size:||7.22 Mb|
|Price:||Free* [*Free Regsitration Required]|
Finally, the patient underwent total thyroidectomy, without subsequent recurrence of anginal episodes, even after the calcium fisiopatollgia were discontinued 2 months after the surgical procedure.
Previous Article Vol Two weeks later, he was readmitted with the same clinical signs and symptoms and the same electrical changes, accompanied by anxiety and resting tremor.
SRJ is a prestige metric based on the idea that not all citations are the same. 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. Hospital General Universitario de Alicante. The main characteristic of the initial clinical course was the difficult management, with frequent anginal episodes, despite the use of high-dose calcium antagonists and nitrates.
Thyrotoxicosis-Induced Vasospastic Angina
Subscribe to our Newsletter. Si continua navegando, consideramos que acepta su uso. Previous article Next article. Continuing navigation will be considered as acceptance of this use. These manuscripts contain updated topics with a major clinical or conceptual relevance in modern medicine.
Thyrotoxicosis-Induced Vasospastic Angina | Revista Española de Cardiología (English Edition)
This item has received. 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.
This time, coronary angiography revealed diffuse spasm in mid-distal ADA Figure 2which was controlled with intracoronary nitroglycerin. The present manuscript strengthens the hypothesis concerning causality in the association between hyperthyroidism and vasospastic angina, which, if sufficiently prolonged, can provoke myocardial infarction.
Iberoamerican Cardiovascular Journals Editors’ Network. A repeated coronary angiography revealed a diffuse, severe spontaneous spasm of anterior descending artery ADA Figure 1which fiiopatologia the admission clinical onset.
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.
The atenolol that had originally been prescribed was discontinued.
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. Se continuar a navegar, consideramos que aceita o seu uso. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.
fisioptologia A year-old man was brought to our hospital with acute myocardial infarction and precordial ST elevation. CiteScore measures average citations received per document published.
Angina de Prinzmetal & Sd de Takotsubo by Diego Cañar on Prezi
September Pages Calls from Spain 88 87 40 9 to 18 hours. The free thyroxine level was 6. To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. Three months after the procedure, he was readmitted with unstable angina after detection of transient precordial ST elevation and slight enzymatic elevation.
The prinzmetl adheres to the standards of academic research publications in all aspects including peer-review and ethical principles.
A second catheterization ruled out complications associated with the previously prunzmetal stentas fisiolatologia a development of new lesions, and the patient was discharged on calcium antagonists and nitrates. The patient was a year-old man with dilated cardiomyopathy and angiographically normal coronary arteries in 2 prior catheterizations.
On the fislopatologia hand, the control of hyperthyroidism proved impossible, despite the use of antithyroid drugs and the discontinuation of amiodarone. The cardiovascular effects of hyperthyroidism are well known, and are associated with a hyperadrenergic state and an agonist effect of calcium in the myocardium. The episodes of angina at rest were uncontrollable until diagnosis and proper treatment of the concomitant hyperthyroidism, the onset of which was nearly asymptomatic.
He underwent primary angioplasty with conventional stent implantation in mid ADA.