oronary disease in hypothyroidism.

10 case reports]
[Article in French]
Youssef Ben Ameur 1, Alia Yaacoub, Abdeddayem Haggui, Mouna Terras, Kaïes
Battikh, Selma Longo, Sondos Kraiem, Mohamed Lotfi Slimane
Affiliations expand
 PMID: 14986530

Abstract
The hypothyroidism and coronary disease are tightly related. Our retrospective study,
based upon the data from ten patients with hypothyroidism and coronary disease,
aimed to assess the diagnosis, the prognosis and the therapeutic measures in these
patients. Our population aged in average 60 years and was almost composed with
women. Acute Coronary syndrome was a circumstance to discover hypothyroidism
three patients. Bi and tritruncular stenosis were found in seven of the patients. The
mean number of coronary lesion by patient is 2, 1. Myocardial reperfusion was
proposed in seven of the patients. The three remainders were treated medically.
Among the six operated patients, three were insufficiently prepared by the
opotherapy. One of these patients died in preoperative period. The only patient who
underwent angioplasty presented an uneventful period. At short and long term
follow-up the evolution of all survivors patients was satisfactory on the both coronary
and thyroidal sides. During the course of hypothyroidism coronary lesions are more
extended, complex and severe. The management of such patients is difficult because
of destabilisation of affection by the treatment of the other one. Preventive measures
seams to warrant the best result.

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