propylthiouracil and Myocardial-Infarction

Topics: Desoxycorticosterone; Dogs; Epinephrine; Heart Diseases; Hyperthyroidism; Hypokalemia; Isoproterenol; Myocardial Infarction; Necrosis; Norepinephrine; Potassium Deficiency; Propylthiouracil; Rats; Research; Thyroidectomy; Toxicology

We describe an unusual case of acute myocardial infarction (AMI) and cardiogenic shock in a 25-year-old woman. After coronary revascularization, a thyrotoxic storm developed and the patient's cardiac failure changed into a hyperdynamic circulation without obvious changes in the patient's vital signs. This report will focus on three issues: (1) the benefit of advanced hemodynamic monitoring in circulatory unstable patients, (2) the confounding effects of untreated hyperthyroidism on the circulation, and (3) previous cancer treatment as a cause of AMI in young persons.

Topics: Acute Disease; Adrenal Cortex Hormones; Adult; Antithyroid Agents; Catheterization, Swan-Ganz; Coma; Coronary Disease; Electric Countershock; Female; Hemodynamics; Humans; Myocardial Infarction; Myocardial Revascularization; Postoperative Complications; Propylthiouracil; Pulmonary Edema; Thyroid Crisis; Thyroxine

Angina and myocardial infarction have been reported in hyperthyroidism with normal coronary arteries, presumably secondary to thyroid-induced coronary artery spasm. We report the case of a very young female patient with an atypical presentation of acute myocardial infarction mimicking pulmonary embolization secondary to thyrotoxicosis. Hyperthyroidism should be kept in mind in younger patients in the differential diagnosis of coronary artery disease.

Topics: Adrenergic beta-Antagonists; Adult; Coronary Angiography; Diagnosis, Differential; Drug Therapy, Combination; Electrocardiography; Female; Follow-Up Studies; Humans; Myocardial Infarction; Propylthiouracil; Pulmonary Embolism; Risk Assessment; Thyroid Function Tests; Thyrotoxicosis; Turkey

Topics: Antibody Specificity; Female; Fetal Blood; Humans; Hyperthyroidism; Hypothyroidism; Isomerism; Methimazole; Myocardial Infarction; Pregnancy; Propylthiouracil; Thyroid Hormones; Thyrotropin; Thyroxine; Triiodothyronine

Topics: Animals; Bile Acids and Salts; Cholesterol; Diet, Atherogenic; Dietary Fats; Dihydrotachysterol; Fludrocortisone; Heart Diseases; Myocardial Infarction; Necrosis; Nephrocalcinosis; Phosphates; Propylthiouracil; Rats; Stress, Physiological; Thrombosis

Topics: Adrenergic beta-Antagonists; Antithyroid Agents; Carbimazole; Chemical Phenomena; Chemistry; Humans; Hyperthyroidism; Hypothyroidism; Imidazoles; Iodine Isotopes; Methimazole; Methylthiouracil; Myocardial Infarction; Perchlorates; Potassium; Potassium Iodide; Propranolol; Propylthiouracil; Psychotic Disorders; Thiourea; Thyroxine; Time Factors

Topics: Animals; Body Weight; Cholesterol; Coronary Disease; Coronary Vessels; Death, Sudden; Diet, Atherogenic; Disease Models, Animal; Electrocardiography; Male; Myocardial Infarction; Myocardium; Propylthiouracil; Radiation Injuries, Experimental; Swine

Topics: Arteriosclerosis; Atherosclerosis; Bile Acids and Salts; Butter; Cholesterol; Diet; Diet, Atherogenic; Infarction; Myocardial Infarction; Oils; Pathology; Propylthiouracil; Rats; Research; Salts; Thrombosis; Toxicology; Zea mays

Topics: Angina Pectoris; Aspartate Aminotransferases; Heart; Isocarboxazid; Isoproterenol; L-Lactate Dehydrogenase; Lactates; Models, Theoretical; Monoamine Oxidase Inhibitors; Myocardial Infarction; Necrosis; Papillary Muscles; Propylthiouracil; Rats; Research; Thiouracil; Toxicology

Topics: Animals; Bile Acids and Salts; Coronary Disease; Hypercholesterolemia; Hyperlipidemias; Myocardial Infarction; Propylthiouracil; Rats; Salts; Thrombosis