Chest pain, enzymes and hypothyroidism

Hypothyroidism is a common disorder and when presenting with classical symp toms and signs is easy to recognise. However, hypothyroidism may present in a manner suggestive of an acute myocardial infarction with an elevated cre atine kinase and electrocardiographic abnormalities. We report a case of se vere hypothyroidism presenting as a cardiac event whose symptoms and signs dispersed following treatment with thyroxine.