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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The atenolol that had originally zngina prescribed was discontinued. Are you a health professional able to prescribe or dispense drugs? 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.

Thus, we highlight the importance of determining thyroid hormone concentrations in cases of vasospastic angina, especially when drug resistance is observed, 4 and even fjsiopatologia the signs of hyperthyroidism are mild, 2 a circumstance to which previous treatment with beta-blockers can contribute.

Continuing navigation will be considered as acceptance of this use. The journal adheres to the standards of academic research publications in all aspects including peer-review and ethical principles. The episodes of angina at rest were uncontrollable until diagnosis and proper treatment of the concomitant hyperthyroidism, the onset of which was nearly asymptomatic.

Subscribe to our Newsletter. Subscriber If you already have your login data, please click here. Two weeks later, he was readmitted with the same clinical signs and symptoms and the same electrical changes, accompanied by anxiety and resting tremor. 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. Images subject to Copyright.

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

From Monday to Friday from 9 a. The main characteristic of the initial clinical course was disiopatologia difficult management, with frequent anginal episodes, despite the use of high-dose calcium antagonists and nitrates. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact.

Calls from Spain 88 87 40 9 to 18 hours. On the other hand, the control of hyperthyroidism proved fisuopatologia, despite the use of antithyroid drugs and the discontinuation of amiodarone.

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 item has received. Forty-eight hours later, a level of free thyroxine of 4.

Se continuar a navegar, consideramos que aceita o seu uso. One year after the initiation of this medication, he was admitted to the hospital with unstable angina, with mild electrical and enzymatic changes. These manuscripts contain updated topics with a major clinical or conceptual relevance in modern medicine. This time, coronary angiography revealed diffuse spasm in mid-distal ADA Figure 2which was controlled with intracoronary nitroglycerin. The authors wish to thank the reviewers for their comments and the suggested modifications, which contributed considerably to improving the manuscript.

A se man was brought to our hospital with acute myocardial infarction and precordial ST elevation. We present 2 ptinzmetal of severe vasospastic angina resistant to intensive medical treatment. CiteScore measures average citations received per document published. The duration of the follow-up period was 14 months. He underwent primary angioplasty with conventional stent implantation in mid ADA.

The present manuscript strengthens the hypothesis concerning causality in the association between hyperthyroidism and vasospastic angina, which, if sufficiently prolonged, can provoke myocardial infarction. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.


Thyrotoxicosis-Induced Vasospastic Angina

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September Pages 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. Print Send to a friend Export reference Mendeley Statistics. Finally, the patient underwent total prrinzmetal, without subsequent recurrence of anginal episodes, even after the calcium antagonists were discontinued 2 months after the surgical procedure.

Si continua navegando, consideramos que acepta su uso. SRJ is a angiina metric based on the idea that not all citations are the same. The free thyroxine level was 6. Previous article Next article. Iberoamerican Cardiovascular Journals Editors’ Network. Three months after the procedure, he was readmitted with unstable angina after detection of transient precordial ST elevation and slight enzymatic elevation. A second catheterization ruled out complications associated with the previously implanted stentas well a development of new lesions, and the patient was discharged on calcium antagonists and nitrates.

Hospital General Universitario de Alicante. December Next article. 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. The patient was a year-old man with dilated cardiomyopathy and angiographically normal coronary arteries in 2 prior catheterizations.