AI Article Synopsis

  • Destructive thyroiditis is a temporary condition marked by the sudden release of thyroid hormones, and the paper discusses a rare case following a heart procedure.
  • A patient developed painful thyroiditis after a PCI during a heart attack, likely due to inflammation from the iodine in the contrast media used.
  • The authors emphasize the need for cardiologists to be aware of the risk of thyroid issues from iodinated contrast, reviewing its causes, symptoms, treatment, and prevention strategies.

Article Abstract

Destructive thyroiditis is a self-limited disease characterized by acute release of preformed thyroid hormones. We present a patient with extremely rare acute painful thyroiditis after percutaneous coronary intervention (PCI) in acute myocardial infarction without ST-elevation. The acute onset of thyroid pain and increase of fT3, fT4 and parameters of inflammation were compatible with acute destructive thyroiditis. Such acute thyroiditis probably resulted from local inflammation induced by a large amount of iodine given to the patient iodinated contrast media used during PCI. Because of the increasing number of patients referred to cardiac catheterization, invasive cardiologists should be aware of the potentially serious thyroid dysfunction that can result from iodinated contrast use. The aim of our paper is, in the light of the patient presented, to discuss the pathophysiology, clinical presentations, therapy and potential preventive measures in patients that develop thyroid dysfunction after PCI.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11413998PMC
http://dx.doi.org/10.20471/acc.2023.62.03.18DOI Listing

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