A 39-year-old man presented with palpitations, tremors, and chest tightness. His past medical history included Graves’ disease for which he had taken carbimazole in the past. Electrocardiogram showed ST-elevation in the inferior leads, troponin-T was elevated at 1168 ng/l (normal <14 ng/l), thyroid-stimulating hormone of <0.01 mIU/l (normal 0.27–4.2 mIU/l), and free T4 of >100 pmol/l (normal 12–22 pmol/l). The patient was commenced on carbimazole, bisoprolol, and a short course of prednisolone following endocrinology review.

中文翻译：

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与 Graves 甲状腺毒症相关的急性心肌炎

一名 39 岁男性出现心悸、震颤和胸闷。他过去的病史包括他过去服用过卡比马唑的格雷夫斯病。心电图显示下壁导联 ST 段抬高，肌钙蛋白 T 升高至 1168 ng/l（正常 <14 ng/l），促甲状腺激素 <0.01 mIU/l（正常 0.27-4.2 mIU/l），游离 T4 >100 pmol/l（正常 12–22 pmol/l）。内分泌检查后，患者开始服用卡比马唑、比索洛尔和短期泼尼松龙。