Clinical case of autoimmune thyroiditis after coronary angiography

M.I. Shved, L.P. Martyniuk, O.L. Sydorenko, N.M. Kovbasa, M.Ya. Pelo

Abstract


Background. At present, the most objective and informative method of diagnosing stenotic coronary artery disease is coronary angiography, which is increasingly used in clinical practice. The purpose of the study is to analyze a clinical case of autoimmune thyroiditis before and after coronary angiography in order to improve the management of patients with thyroid pathology. Materials and methods. System analysis, bibliosemantics and case study of a particular patient. Searching for literature on databases: CyberLeninka, NCBI. Results. It is known that the use of large doses of iodinated contrast media leads to complications in the form of allergic reactions, toxic effects on the kidneys and thyroid gland. Researchers also note that thyroid dysfunction is more common in patients with a history of thyroid disease and in residents of iodine deficient regions. In our opinion, this category of patients should be classified as a high­risk group in terms of possible exacerbation and/or worsening of thyroid disease. So, before the coronary angiographic exami­nation, it is necessary to control its morphofunctional state. Conclusions. The use of high doses of iodinated contrast media during coronary angiography, even with compensated pathology of the thyroid gland, has a high risk of developing its dysfunction in the form of autoimmune thyroiditis with thyrotoxicosis; therefore, it is recommen­ded to monitor the morphological and functional state of the gland in this group of patients before and after coronary angiography with the purpose of early detection and adequate timely correction of diseases.


Keywords


autoimmune thyroiditis; coronary angiography; iodinated contrast media



DOI: https://doi.org/10.22141/2224-0721.14.4.2018.140192

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