Thyrotoxicosis Triggering Takotsubo Cardiomyopathy and Acute Coronary Syndrome: A Case of Severe Cardiovascular Manifestations in Hyperthyroidism

Authors

Raiyan Ali, Northwell Health-Mather Hospital, Port Jefferson, New YorkFollow
Nathaniel Lin, Northwell Health-Mather Hospital, Port Jefferson, New York
Taha Siddiqui, Northwell Health-Mather Hospital, Port Jefferson, New York
Mohit Sharma, Northwell Health-Mather Hospital, Port Jefferson, New York

Abstract

Hyperthyroidism can lead to serious cardiovascular complications, including arrhythmias, high-output heart failure, and myocardial ischemia. Thyrotoxicosis, a hypermetabolic emergency, may mimic or exacerbate acute coronary syndrome (ACS) and, though rare, has been associated with takotsubo cardiomyopathy. We present a case of a 54-year-old thyrotoxic female without significant cardiovascular history who presented with atypical chest pain complicated by both takotsubo cardiomyopathy and myocardial infarction. This case not only emphasizes the diagnostic challenge posed by thyroid-induced cardiac dysfunctions but also highlights the importance of multidisciplinary management in these patients.

Recommended Citation

Ali, Raiyan; Lin, Nathaniel; Siddiqui, Taha; and Sharma, Mohit (2025) "Thyrotoxicosis Triggering Takotsubo Cardiomyopathy and Acute Coronary Syndrome: A Case of Severe Cardiovascular Manifestations in Hyperthyroidism," Journal of Community Hospital Internal Medicine Perspectives: Vol. 15: Iss. 5, Article 9.
DOI: 10.55729/2000-9666.1527
Available at: https://scholarlycommons.gbmc.org/jchimp/vol15/iss5/9

DOI

10.55729/2000-9666.1527