Soonchunhyang Med Sci.
2015 Dec;21(2):95-98. 10.0000/sms.2015.21.2.95.
Case Reports of Severe Coronary Artery Spasm Associated with Three Different Endocrine Hyperfunction
- Affiliations
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- 1Division of Endocrinology and Metabolism, Department of Internal Medicine, Research Institute of Clinical Medicine, Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Korea. kaleey@jbnu.ac.kr
- 2Department of Internal Medicine, Daerim Saint Mary's Hospital, Seoul, Korea.
- KMID: 2317764
- DOI: http://doi.org/10.0000/sms.2015.21.2.95
Abstract
- Disorders of the endocrine system including hormone hyperfunction and hypofunction have multiple effects on cardiovascular system. However, in clinical practice, there are many cases of delayed or overlooked diagnosis of underlying endocrine dysfunction in patients presenting chest pain or other cardiac symptoms. Herein, we report three cases of endocrine hyperfunction presenting as coronary spasm; Graves' hyperthyroidism, pheochromocytoma, and primary hyperparathyroidism. Chest pains disappear after treatment for these endocrine diseases. Endocrine hyperfunctions such as the three cases described above should be considered as possible diagnosis in patients with complaint of chest pain. High index of suspicion are needed.
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