CARDIAC TAMPONADE - A RARE INITIAL PRESENTATION OF HYPOTHYROIDISM-A CASE REPORT
Abstract
Abstract :
Pericardial effusion is frequently found in patients with hypothyroidism, but it is rarely associated with cardiac tamponade. Hypothyroidism complicated by cardiac tamponade is rarely referenced in the medical literature. Here we report an unusual case of a 30-year-old female, who presented with breathlessness and swelling of legs and was found to have hypothyroidism with large pericardial effusion with cardiac tamponade. Treatment included an emergency pericardiocentesis followed by thyroxine hormone replacement.
Keyword :hypothyroidism, Cardiac tamponade, pericardial effusion, pericardiocentesis
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Hardisty CA, Naik DR, Munro DS (1980) Pericardial effusion in hypothyroidism. Clin Endocrinol 13:349-54
Kerber RE, Sheman B (1975) Echocardiographic evaluation of pericardial effusion in myxedema Incidence and biochemical and clinical correlations. Circulation 52:823-827
Manolis AS, Varriale P, Ostrowski RM (1987) Hypothyroid cardiac tamponade. Arch Intern Med 147:1167-11695.
Zimmerman J, Yahalom J, Bar-On H (1983). Clinical spectrum of pericardial effusion as the presenting feature of hypothyroidism. Am Heart J 106:770-771
Klein I, Ojamaa K (1994) Thyroid hormone and the cardiovascular system: from theory to practice. J Clin Endocrinol Metab 78:1026-1027
Kabadi UM, Kumar SP (1990) Pericardial effusion in primary hypothyroidism. Am Heart J 120:1393-1395
Braunwald E, Lorell BH (1992) Pericardial disease. In: Braunwald E (Ed) Heart Disease, A Textbook of Cardiovascular Medicine. WB Saunders, Philadelphia, pp1465-1516
Chandrasekharan, M., Murugaiyan, R., Gopinath , K. R. and Kasirajan, N.: Cardiomegaly with pericardial effusion in myxedema. Ind. Heart J., 33: 8-12, 1981.
Fahr, G.: Myxedema heart. J. Amer. Med. Assoc., 84: 345-349, 1925
Sharma, S. K. and Bordia, A.: Cardiac tamponade due to pericardial effusion in myxedema. Ind. Heart. J., 21: 210-216, 1969.
Smotar, E. N., Rubin, J. E., Avramides, A. and Carter, A. C.: Cardiac tamponade in primary myxedema and review of the literature. Amer. J. Med. Sci., 272: 345352, 1976.
Zondek, H.: Das. Miinchen med Wchnschr., 65: 1180-1182, 1918. Quoted by Levine, H 1. Armstrong W F, Schilt B F, Helper D J et al. Diastolic collapse of the right ventricle with cardiac tamponade: an echocardiographic study. Circulation, 65:1491-1496, 1982
Levine H T, Levine S A, Myxedema ascites, Report of 2 cases. Amer. Heart J, 60: 456-463, 1960.
Kern R A, Soloff L A, Shap W J et al, Pericardial effusion; A constant, early and major factor in the cardiac syndrome of hypothyroidism (Myxedema heart). Amer. J. Med. Sic, 217: 609-618, 1949.
Harrison principles of internal medicine 18th Ed pericardial diseases
Alexander, J. S.: Pericardial effusion of "Gold Paint" appearance due to presence of cholesterin.
Brit.Med. J., 2: 463, 1919.
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