Short report
Chest pain, enzymes and hypothyroidism
S R Strachan, O Afolabi, N Brown, D Gray
Cardiology
Department, Queen's Medical Centre, University Hospital, Clifton
Boulevard, Nottingham, NG7 2UH, UK
Correspondence to: S R Strachan, Intensive Care Unit, Queens Medical Centre, Nottingham NG7 2UH, UK
Submitted 29 April 1999;
Accepted 19 August
1999
Hypothyroidism is a common disorder and when presenting with
classical symptoms and signs is easy to recognise. However,
hypothyroidism may present in a manner suggestive of an acute
myocardial infarction with an elevated creatine kinase and
electrocardiographic abnormalities. We report a case of severe
hypothyroidism presenting as a cardiac event whose symptoms and signs
dispersed following treatment with thyroxine.
Keywords: hypothyroidism; chest pain; creatine kinase
© 2000 by The Fellowship of Postgraduate Medicine
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