{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T13:21:30Z","timestamp":1761312090527,"version":"3.33.0"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T00:00:00Z","timestamp":1736899200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T00:00:00Z","timestamp":1736899200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Egypt Heart J"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Acute myocardial infarction during pregnancy is a rare condition with an incidence of 1 to 10 per 100,000 deliveries. ST-elevation myocardial infarction (STEMI) is dominating the clinical presentation. It is estimated that 29% of the patients had normal coronary arteries, and hyperthyroidism may be associated with coronary vasospasm.<\/jats:p>\n            <jats:p>\n              <jats:bold>Case Presentation<\/jats:bold>: A 30-year-old pregnant woman was referred with inferior STEMI post-failed fibrinolytic therapy. Her hospitalization course was complicated by non-sustained ventricular tachycardia and cardiogenic shock. Coronary angiography revealed normal coronary arteries without intracoronary thrombus, coronary dissection, or coronary atherosclerotic lesion. Laboratory test showed high Free T4 2.71\u00a0ng\/dL and low TSH\u2009&lt;\u20090.05 mlU\/mL. Patient\u2019s condition and hospitalization course were significantly improved after the initiation of hyperthyroid therapy. We suspected a hyperthyroid-induced coronary vasospasm as a potential etiology of myocardial infarction with non-obstructive coronary artery (MINOCA) in this patient.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Although MINOCA due to hyperthyroidism is a rare finding among pregnant young woman, recognizing this etiology is a paramount of importance due to improved survival with appropriate and specific therapy.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s43044-025-00607-5","type":"journal-article","created":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T11:34:46Z","timestamp":1736940886000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["When the heart deceives: a case report of hyperthyroidism disguised as STEMI in female pregnant patient"],"prefix":"10.1186","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2975-1900","authenticated-orcid":false,"given":"Kevin","family":"Wibawa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lidia Debby","family":"Wiyono","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raditya","family":"Dewangga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arief","family":"Sumarna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wizhar","family":"Syamsuri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yandi","family":"Ariffudin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suhendiwijaya","family":"Suhendiwijaya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9636-4527","authenticated-orcid":false,"given":"Pangeran Akbar","family":"Syah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,1,15]]},"reference":[{"issue":"6","key":"607_CR1","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1002\/clc.22655","volume":"40","author":"S Ismail","year":"2017","unstructured":"Ismail S, Wong C, Rajan P, Vidovich MI (2017) ST-elevation acute myocardial infarction in pregnancy: 2016 update. Clin Cardiol 40(6):399\u2013406. https:\/\/doi.org\/10.1002\/clc.22655","journal-title":"Clin Cardiol"},{"issue":"5","key":"607_CR2","doi-asserted-by":"publisher","first-page":"2269","DOI":"10.1177\/0300060519837833","volume":"47","author":"L Wang","year":"2019","unstructured":"Wang L, Yang J, Zheng J, Gu X (2019) Acute myocardial infarction in pregnancy: spasm caused by hyperthyroidism? J Int Med Res 47(5):2269\u20132273. https:\/\/doi.org\/10.1177\/0300060519837833","journal-title":"J Int Med Res"},{"issue":"5","key":"607_CR3","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1016\/j.ihj.2019.12.003","volume":"71","author":"MM Edupuganti","year":"2019","unstructured":"Edupuganti MM, Ganga V (2019) Acute myocardial infarction in pregnancy: current diagnosis and management approaches. 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Patient provided written informed consent.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors confirm that written consent for the creation, submission, and publication of this report (and all associated contents) has been obtained from the patient. The patient understands that her name and initial will not be published and due efforts will be made to conceal her identity.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"12"}}