Abstract

ESCAMILLA OSORIO, Mario Germán; TABARES ARBOLEDA, María Paz; NINO MAHECHA, Freyberson Enrique  and  CAMARGO ARENAS, Juan Fernando. Chest Pain and ST Segment Elevation in a 21-Year-Old Patient with on-Debut Hyperthyroidism: Case report. Univ. Med. [online]. 2022, vol.63, n.1, pp.162-167.  Epub Dec 30, 2021. ISSN 0041-9095.  https://doi.org/10.11144/javeriana.umed63-1.dtes.

Chest pain is a frequent symptom that causes millions of consultations annually in the emergency services and includes a wide variety of pathologies that can be benign or life-threatening, and that must be considered at the time of the initial approach of the patient. The population under 40 years of age is part of the group of patients in whom cardiovascular risk factors are not frequently found, with a low prevalence of coronary heart disease, which could motivate a certain sense of security for medical personnel. This review presents the case of a young patient, with no significant pathological history, who consults the emergency department due to chest pain, with an electrocardiogram showing ST segment elevation, however, with cardiac catheterization that reports healthy coronary arteries and echocardiogram that shows segmental disorder of contractility and decreased left ventricular ejection fraction, attributed to coronary vasospasm, due to thyrotoxicosis based on the findings of laboratory tests, which in turn can be correlated with the characteristics of Takotsubo syndrome.

Keywords : Thyrotoxicosis; hyperthyroidism; coronary vasospasm; angina pectoris; myocardial ischemia; Takotsubo cardiomyopathy; Takotsubo syndrome.

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