CASE REPORT article
Front. Cardiovasc. Med.
Sec. Coronary Artery Disease
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1692856
This article is part of the Research TopicCase Reports in Coronary Artery Disease: 2025View all 16 articles
Case Report: Acute inferior myocardial infarction and third-degree atrioventricular block in a patient with hyperthyroidism
Provisionally accepted- 浏阳市人民医院, 长沙市, China
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We describe the management of a middle-aged male with hyperthyroidism who presented acute inferior myocardial infarction (AIMI) complicated by third-degree atrioventricular (AV) block. The symptoms of AIMI in the patient were atypical. However, his atypical presentation raised clinical suspicion. The electrocardiogram (ECG) was immediately conducted to confirm the patient's AIMI and third-degree AV block. Further coronary angiography revealed that the patient's right coronary artery was completely occluded at the second bend. A stent was placed in the right coronary artery. Following anti-thyroid therapy, the patient's clinical symptoms improved. This case underscores the importance of recognizing atypical presentations in hyperthyroid patients and is followed by a literature review exploring the mechanisms by which thyroid dysfunction influences coronary artery disease (CAD).
Keywords: Hyperthyroidism, Acute inferior myocardial infarction, third-degree AV block, Coronary Angiography, Abnormal thyroid function, Coronary Artery Disease
Received: 26 Aug 2025; Accepted: 20 Oct 2025.
Copyright: © 2025 Qiu, Li, Zhong and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Qing Qiu, 844314648@qq.com
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