Abstract
Objective: To describe a patient who presented with pericardial effusion and impending cardiac tamponade attributable to hypothyroidism. Methods: We present clinical, laboratory, and imaging data for the current patient and review the literature relative to clinical presentation, prevalence, pathophysiology, diagnosis, and treatment of pericardial effusion and tamponade. Results: In comparison with previously reported cases, our current case is rare, in that our patient, a 51-year-old woman, presented with impending cardiac tamponade as an initial manifestation of hypothyroidism. Echocardiography demonstrated a large pericardial effusion and diastolic right atrial collapse. A pericardial window procedure was performed, and 1,500 mL of fluid was removed. Levothyroxine therapy was initiated. One month later, recurrent pericardial effusion necessitated a similar intervention, after which the patient recovered and was managed by outpatient follow-up and monitoring of the thyrotropin level. Conclusion: From our review of the literature, we conclude that impending cardiac tamponade is a rare initial manifestation of hypothyroidism. A high index of suspicion must be maintained for timely diagnosis of pericardial tamponade followed by prompt intervention. Recurrent pericardial effusions are common, necessitating close follow-up. Treatment of the hypothyroidism with levothyroxine is imperative.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 265-271 |
| Number of pages | 7 |
| Journal | Endocrine Practice |
| Volume | 11 |
| Issue number | 4 |
| State | Published - Jul 2005 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Endocrinology
- Endocrinology, Diabetes and Metabolism
Cite this
Impending cardiac tamponade as a primary presentation of hypothyroidism : Case report and review of literature. / Karu, Andrew K.; Khalife, Wissam; Houser, Robert; VanderWoude, John.
In: Endocrine Practice, Vol. 11, No. 4, 07.2005, p. 265-271.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Impending cardiac tamponade as a primary presentation of hypothyroidism
T2 - Case report and review of literature
AU - Karu, Andrew K.
AU - Khalife, Wissam
AU - Houser, Robert
AU - VanderWoude, John
PY - 2005/7
Y1 - 2005/7
N2 - Objective: To describe a patient who presented with pericardial effusion and impending cardiac tamponade attributable to hypothyroidism. Methods: We present clinical, laboratory, and imaging data for the current patient and review the literature relative to clinical presentation, prevalence, pathophysiology, diagnosis, and treatment of pericardial effusion and tamponade. Results: In comparison with previously reported cases, our current case is rare, in that our patient, a 51-year-old woman, presented with impending cardiac tamponade as an initial manifestation of hypothyroidism. Echocardiography demonstrated a large pericardial effusion and diastolic right atrial collapse. A pericardial window procedure was performed, and 1,500 mL of fluid was removed. Levothyroxine therapy was initiated. One month later, recurrent pericardial effusion necessitated a similar intervention, after which the patient recovered and was managed by outpatient follow-up and monitoring of the thyrotropin level. Conclusion: From our review of the literature, we conclude that impending cardiac tamponade is a rare initial manifestation of hypothyroidism. A high index of suspicion must be maintained for timely diagnosis of pericardial tamponade followed by prompt intervention. Recurrent pericardial effusions are common, necessitating close follow-up. Treatment of the hypothyroidism with levothyroxine is imperative.
AB - Objective: To describe a patient who presented with pericardial effusion and impending cardiac tamponade attributable to hypothyroidism. Methods: We present clinical, laboratory, and imaging data for the current patient and review the literature relative to clinical presentation, prevalence, pathophysiology, diagnosis, and treatment of pericardial effusion and tamponade. Results: In comparison with previously reported cases, our current case is rare, in that our patient, a 51-year-old woman, presented with impending cardiac tamponade as an initial manifestation of hypothyroidism. Echocardiography demonstrated a large pericardial effusion and diastolic right atrial collapse. A pericardial window procedure was performed, and 1,500 mL of fluid was removed. Levothyroxine therapy was initiated. One month later, recurrent pericardial effusion necessitated a similar intervention, after which the patient recovered and was managed by outpatient follow-up and monitoring of the thyrotropin level. Conclusion: From our review of the literature, we conclude that impending cardiac tamponade is a rare initial manifestation of hypothyroidism. A high index of suspicion must be maintained for timely diagnosis of pericardial tamponade followed by prompt intervention. Recurrent pericardial effusions are common, necessitating close follow-up. Treatment of the hypothyroidism with levothyroxine is imperative.
UR - http://www.scopus.com/inward/record.url?scp=33644687994&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33644687994&partnerID=8YFLogxK
M3 - Article
C2 - 16006302
AN - SCOPUS:33644687994
VL - 11
SP - 265
EP - 271
JO - Endocrine Practice
JF - Endocrine Practice
SN - 1530-891X
IS - 4
ER -