Acta cardiologica
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Angina and myocardial infarction have been reported in hyperthyroidism with normal coronary arteries, presumably secondary to thyroid-induced coronary artery spasm. We report the case of a very young female patient with an atypical presentation of acute myocardial infarction mimicking pulmonary embolization secondary to thyrotoxicosis. Hyperthyroidism should be kept in mind in younger patients in the differential diagnosis of coronary artery disease.
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The intra-aortic balloon pump (IABP) is a valuable tool in the treatment of cardiogenic shock or instable myocardial ischaemia. We report on our recent experience with interhospital transport of haemodynamically unstable patients using on-site stabilization with IABP. A 75% survival rate encourages us to keep using this technique despite the logistic efforts it demands.