Patient with carotid artery rupture of the thyroid gland presents unusual myocardial infarction

Bestaan ​​pocos dates described in literature of this type of clinical cadres.

Wear. Yesenia Fuentes

Belinda Z. Burgos González, Katherine Trujillo Useche
Agencia Latina de Noticias Medicina y Salud Pública

A patient was diagnosed with postpartum period and diagnosed with autoimmune thrombosis of the thyroid gland, presenting with a usual cardiac clinical quadrant without any sustained cardiovascular history.

The woman of 37 years arrived at the emergency room of the Manatí Medical Center (MMC), two weeks ago to be read with pain symptoms associated with sudoración, nauseas, mareos, lack of air and with a historical medicine of the Graves’ illness that is the most common cause of hyperthyroidism develops during the embarrassment that does not respond adequately to medications, including the Dra. Yesenia Fuentes’ n Medicina y Salud Pública (MSP).

Graves’ enferredad is a self-propelled grenade launcher that lives up to the hyperthyroidism of the thyroid gland, which occurs when the defensive attack system fails.

“The levels of cardiac enzymes are elevated and the electrocardiogram must show changes corresponding to a myocardial infarction. In addition, thyroid hormone (TSH) levels and antiseptic thyroid hormone (TSAb) present abnormal levels, ”explained Dra.

The symptoms that present the patient eran pain of pain, lack of air, nausea, sudoraciones and pain of cabeza after two weeks of giving light.

The patient sometimes had a cardiac catheterism where a severe stenosis of the coronary artery was observed without evidence of an obstruction of an atherosclerotic plaque. Debiting the many factors of risk and its edema, the patient undergoes medication.

Precisely the case is an atypical denture of the literature, then it is only described as the Graves’ disease and it is not adequately controlled that it can reveal a cardiac clinic in a desperate case, even if in a patient joven sin historial de enf.

“It is rare that the presentation of Graves’ nurse can be complicated with an incision without the presence of cardiovascular nurses in a woman who has been sleeping for weeks and is not only suicidal”,

“There are some cases described with the characteristics that our patient has, they belong to the scientific literature and promote that more studies can be done with respect”, said the Dra.

As providers of our health meta should check the function of the thyroid gland during the embarrassment to reduce the risks of having a coronary heart syndrome. Even if a woman is embarrassed if the post is presented with bad luck, she should consider implementing a TSH model ”. concluded the Dra.

Conditions of the described condition:

  1. Hyperthyroidism developed during the embarrassment: 0.2-0.7% and 95% were debited to Graves’ hospital
  2. Entrance to the coronation during the embarrassment and post part: the embarrassment increases the risk of 3 to 4 more months in comparison to a woman not embarrassed.