[Acute myocarditis secondary to Graves' disease: A case report].

Ann Cardiol Angeiol (Paris)

Service de cardiologie, Centre Hospitalier de Versailles, Hôpital André Mignot, Le Chesnay-Rocquencourt, France. Electronic address:

Published: November 2024

AI Article Synopsis

  • The relationship between the thyroid and the heart can be complex, especially in cases of hyperthyroidism from Graves' disease, which may lead to serious issues like acute myocarditis.
  • A case study is presented involving a 41-year-old woman with uncontrolled Graves' disease who experienced severe symptoms, including palpitations and abnormal ECG findings.
  • After thorough testing, including normal coronary angiography and cardiac MRI confirming myocarditis, the patient's condition improved following treatment, highlighting the challenges in diagnosing and managing such cases.

Article Abstract

The relationships between the thyroid and the heart are close and complex. In rare cases, hyperthyroidism induced by Graves' disease can be complicated by an acute myocarditis, which may be life-threatening. We report the case of a 41-year-old woman with Graves' disease not controlled by antithyroid drugs, hospitalized for odynophagia, palpitations due to atrial fibrillation, diffuse ST elevation on ECG and an increase in cardiac troponin. Coronary angiography was normal, cardiac MRI confirmed acute myocarditis. The evolution was favorable after a phase marked by supraventricular and ventricular rhythm disorders. The diagnostic and therapeutic challenge of this association are discussed, with a review of the literature.

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Source
http://dx.doi.org/10.1016/j.ancard.2024.101808DOI Listing

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