Book review

https://doi.org/10.20471/acc.2023.62.03.18

Acute Painful Thyroiditis and Thyrotoxicosis after PCI – a Case Study

Ena Kurtić ; Merkur University Hospital, Zagreb, Croatia *
Ivica Premužić Meštrović ; Merkur University Hospital, Zagreb, Croatia
Matija Marković ; Merkur University Hospital, Zagreb, Croatia
Vinko Roso ; Merkur University Hospital, Zagreb, Croatia
Valentina Obadić ; Merkur University Hospital, Zagreb, Croatia
Mario Stipinović ; Merkur University Hospital, Zagreb, Croatia
Tomislav Letilović ; Merkur University Hospital, Zagreb, Croatia

* Corresponding author.

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 via 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.

Keywords

Acute thyroiditis; Thyrotoxicosis; Percutaneous coronary intervention; Acute coronary syndrome; Iodinated contrast agent

Hrčak ID:

315281

URI

https://hrcak.srce.hr/315281

Publication date:

1.11.2023.

Article data in other languages: croatian

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