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The Korean Journal of Medicine 2009;76(5): 584-588.
갑상선기능항진증 환자에서 발현한 우심부전과 변이형 협심증 1예
박혜원, 박대균, 박철민, 김성은, 이준희, 한규록, 오동진
Reversible right heart failure and variant angina associated with hyperthyroidism
Hye Won Park, Dae Gyun Park, Chul Min Park, Sung Eun Kim, Jun- Hee Lee, Kyoo Rok Han, Dong Jin Oh
ABSTRACT
Thyroid hormone has many effects on the heart and vascular system. Cardiovascular manifestations of excess thyroid hormone are variable, and include enhanced cardiac contractility, enhanced oxygen myocardial consumption, and reduced systemic vascular resistance. Sinus tachycardia, atrial fibrillation, heart failure, and angina pectoris are common clinical manifestations, while right heart failure without severe left heart failure is rare in patients with hyperthyroidism. In addition, ventricular fibrillation may occur in thyrotoxic patients due to myocardial ischemia, such as in variant angina. This case report describes a young woman who presented with right heart failure and variant angina, whose only concurrent illness was hyperthyroidism. The symptoms and sign of right heart failure improved on treating the hyperthyroidism.
Keywords: Hyperthyroidism; Right heart failure; Variant angina
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