Korean Circ J.  1999 Nov;29(11):1245-1249. 10.4070/kcj.1999.29.11.1245.

A Case of Angina Manifested by ST-segment Elevation during Exercise in Patient with Situs Inversus and Hyperthyroidism

• Chun KJ
• Hong TJ
• Shin YW

• KMID: 1968300
• DOI: http://doi.org/10.4070/kcj.1999.29.11.1245

Abstract

Ischemic heart disease is a common complication of thyrotoxicosis, although the exact mechanism has not been defined. In patient with dextrocardia as a part of situs inversus, coronary heart disease may occur with similar frequency and manifestation as in the general population. A case is reported of angina and thyrotoxicosis in patient with situs inversus totalis in which the angina was manifested by ST-segment elevation during graded exercise, relieved by antithyroid treatment. This unusual case establishes an association between hyperthy-roidism and ischemic heart disease.

Keyword

Angina; Hyperthyroidism; Situs inversus

MeSH Terms

Coronary Disease
Dextrocardia
Humans
Hyperthyroidism*
Myocardial Ischemia
Situs Inversus*
Thyrotoxicosis