Case Report: A Case of Unusual Combination of Hypothyroidism, Myocardial Bridging, and Myocardial Infarction-Induced Left Ventricular Aneurysm

Background: Myocardial bridging (MB) of the coronary artery is a congenital anatomical variation, which has traditionally been considered a benign condition that does not cause cardiovascular events. However, recent studies have shown that MB is associated with major adverse cardiac events, includin...

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Autores principales:	Yueliang Li, Zhengjiang Liu
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	myocardial bridging myocardial infarction ventricular aneurysm percutaneous coronary hypothyroidism Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/d6455a419b0842758acc8661cbbf7ebd
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spelling	oai:doaj.org-article:d6455a419b0842758acc8661cbbf7ebd2021-11-15T05:46:03ZCase Report: A Case of Unusual Combination of Hypothyroidism, Myocardial Bridging, and Myocardial Infarction-Induced Left Ventricular Aneurysm2297-055X10.3389/fcvm.2021.684616https://doaj.org/article/d6455a419b0842758acc8661cbbf7ebd2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcvm.2021.684616/fullhttps://doaj.org/toc/2297-055XBackground: Myocardial bridging (MB) of the coronary artery is a congenital anatomical variation, which has traditionally been considered a benign condition that does not cause cardiovascular events. However, recent studies have shown that MB is associated with major adverse cardiac events, including angina, myocardial infarction, arrhythmia, syncope, and even sudden death.Case: We report a case of a 41-year-old man who had hypothyroidism and MB associated with ventricular aneurysm following myocardial infarction. This patient was admitted to our hospital because of 11 days of sudden discomfort and pain in the chest. An electrocardiogram on admission showed an old myocardial infarction. Coronary angiography showed MB in the distal segment of the left anterior descending artery. Left ventricular angiography, which was performed using a pigtail catheter, showed ventricular aneurysm formation. Thyroid ultrasound demonstrated hypothyroidism and Hashimoto's thyroiditis. Patients with hypothyroidism and MB have a high risk of acute myocardial infarction or even sudden death.Conclusion: Observations in our case suggest that early recognition of hypothyroidism and MB is important for risk stratification and prognosis in patients with myocardial necrosis and acute coronary syndrome. Additionally, this early recognition may have positive effects on cardiovascular outcomes in patients with hypothyroidism.Yueliang LiZhengjiang LiuFrontiers Media S.A.articlemyocardial bridgingmyocardial infarctionventricular aneurysmpercutaneous coronaryhypothyroidismDiseases of the circulatory (Cardiovascular) systemRC666-701ENFrontiers in Cardiovascular Medicine, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	myocardial bridging myocardial infarction ventricular aneurysm percutaneous coronary hypothyroidism Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	myocardial bridging myocardial infarction ventricular aneurysm percutaneous coronary hypothyroidism Diseases of the circulatory (Cardiovascular) system RC666-701 Yueliang Li Zhengjiang Liu Case Report: A Case of Unusual Combination of Hypothyroidism, Myocardial Bridging, and Myocardial Infarction-Induced Left Ventricular Aneurysm
description	Background: Myocardial bridging (MB) of the coronary artery is a congenital anatomical variation, which has traditionally been considered a benign condition that does not cause cardiovascular events. However, recent studies have shown that MB is associated with major adverse cardiac events, including angina, myocardial infarction, arrhythmia, syncope, and even sudden death.Case: We report a case of a 41-year-old man who had hypothyroidism and MB associated with ventricular aneurysm following myocardial infarction. This patient was admitted to our hospital because of 11 days of sudden discomfort and pain in the chest. An electrocardiogram on admission showed an old myocardial infarction. Coronary angiography showed MB in the distal segment of the left anterior descending artery. Left ventricular angiography, which was performed using a pigtail catheter, showed ventricular aneurysm formation. Thyroid ultrasound demonstrated hypothyroidism and Hashimoto's thyroiditis. Patients with hypothyroidism and MB have a high risk of acute myocardial infarction or even sudden death.Conclusion: Observations in our case suggest that early recognition of hypothyroidism and MB is important for risk stratification and prognosis in patients with myocardial necrosis and acute coronary syndrome. Additionally, this early recognition may have positive effects on cardiovascular outcomes in patients with hypothyroidism.
format	article
author	Yueliang Li Zhengjiang Liu
author_facet	Yueliang Li Zhengjiang Liu
author_sort	Yueliang Li
title	Case Report: A Case of Unusual Combination of Hypothyroidism, Myocardial Bridging, and Myocardial Infarction-Induced Left Ventricular Aneurysm
title_short	Case Report: A Case of Unusual Combination of Hypothyroidism, Myocardial Bridging, and Myocardial Infarction-Induced Left Ventricular Aneurysm
title_full	Case Report: A Case of Unusual Combination of Hypothyroidism, Myocardial Bridging, and Myocardial Infarction-Induced Left Ventricular Aneurysm
title_fullStr	Case Report: A Case of Unusual Combination of Hypothyroidism, Myocardial Bridging, and Myocardial Infarction-Induced Left Ventricular Aneurysm
title_full_unstemmed	Case Report: A Case of Unusual Combination of Hypothyroidism, Myocardial Bridging, and Myocardial Infarction-Induced Left Ventricular Aneurysm
title_sort	case report: a case of unusual combination of hypothyroidism, myocardial bridging, and myocardial infarction-induced left ventricular aneurysm
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/d6455a419b0842758acc8661cbbf7ebd
work_keys_str_mv	AT yueliangli casereportacaseofunusualcombinationofhypothyroidismmyocardialbridgingandmyocardialinfarctioninducedleftventricularaneurysm AT zhengjiangliu casereportacaseofunusualcombinationofhypothyroidismmyocardialbridgingandmyocardialinfarctioninducedleftventricularaneurysm
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Case Report: A Case of Unusual Combination of Hypothyroidism, Myocardial Bridging, and Myocardial Infarction-Induced Left Ventricular Aneurysm

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