Quote from tridil2000
i'll add to this great list - thyroid function tests! many tachydysrhythmias can be caused by a hyperactive thyroids and be early 'storm.'
another thought for chest pain is to consider the old gall bladder! an amylase and lipase test would help to rule him out.
Elevated Thyroid Function Tests, or patients taking excessive doses of Synthroid (I've seen 4 this year
), can have common Tachy Arrhythmias, most commonly Atrial Fibrillation
and occasionally VT. Mild Thyroid Storm can also induce Prinzmetal's Angina
, and cause patients to have mild MI's from Coronary Vasospasm
when they have perfectly clean Coronaries. I've also seen this many times, sometimes due to an overactive Thyroid, sometimes, as was the case last week, patients who were prescribed too much Synthroid
With the Gall Bladder, don't forget the LFT's.