Background: Grave's disease is characterized by the triad of hyperthyroidism, ophtalmopathy, and dermopathy, wich may occur singly or in combination.
Hyperthyroidism and thyrotoxicosis were reported to be associated with myocardial infarction. To the best of our knowledge, few cases of myocardial infarction secondary to hyperthyroidism was reported in sub-saharan.
Case presentation: We present a case of myocardial infarction (MI) secondary to Grave's disease in a 35-year old african male with no risk factors for atherosclerosis who complained of epigastric pain. The diagnosis of MI was confirmed by the ectrocardiogram (ECG) and myocardial enzymology. He was treated with anti-thyrotoxicosis and anti-anginal medication.
Conclusion: We recommend to add thyroid function test in young patients with MI, particulary in the absence of classical risk factors.