Pericardial effusion in primary hypothyroidism: Tc-99m sestamibi imaging

F. Cesani, H. Tee, J. Esquivel-Avila, Javier Villanueva-Meyer

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

A 28-year-old woman was admitted to the hospital for an episode of syncope. On arrival, the patient was noticed to have an enlarged cardiac silhouette on chest x-ray. The ECG showed sinus bradycardia at 50 beats per minute. A resting myocardial perfusion study was performed after the injection of 20 mCi of Tc-99m sestamibi. The SPECT images show normal myocardial perfusion with a large pericardial effusion, best appreciated with planar images. Laboratory data showed a TSH of 284 mU/L, T3 uptake 0.77, T4 0.4 mcg/dl, and a free thyroxine index less than 0.31. An echocardiogram showed a moderate to severe (600 cc) pericardial effusion with normal left ventricular function. Pericardial effusion may be a frequent manifestation in myxedema, an advanced severe stage.

Original languageEnglish (US)
Pages (from-to)457-458
Number of pages2
JournalClinical Nuclear Medicine
Volume20
Issue number5
StatePublished - 1995

Fingerprint

Pericardial Effusion
Hypothyroidism
Perfusion
Myxedema
Syncope
Bradycardia
Single-Photon Emission-Computed Tomography
Thyroxine
Left Ventricular Function
Electrocardiography
Thorax
X-Rays
Injections

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Cesani, F., Tee, H., Esquivel-Avila, J., & Villanueva-Meyer, J. (1995). Pericardial effusion in primary hypothyroidism: Tc-99m sestamibi imaging. Clinical Nuclear Medicine, 20(5), 457-458.

Pericardial effusion in primary hypothyroidism : Tc-99m sestamibi imaging. / Cesani, F.; Tee, H.; Esquivel-Avila, J.; Villanueva-Meyer, Javier.

In: Clinical Nuclear Medicine, Vol. 20, No. 5, 1995, p. 457-458.

Research output: Contribution to journalArticle

Cesani, F, Tee, H, Esquivel-Avila, J & Villanueva-Meyer, J 1995, 'Pericardial effusion in primary hypothyroidism: Tc-99m sestamibi imaging', Clinical Nuclear Medicine, vol. 20, no. 5, pp. 457-458.
Cesani F, Tee H, Esquivel-Avila J, Villanueva-Meyer J. Pericardial effusion in primary hypothyroidism: Tc-99m sestamibi imaging. Clinical Nuclear Medicine. 1995;20(5):457-458.
Cesani, F. ; Tee, H. ; Esquivel-Avila, J. ; Villanueva-Meyer, Javier. / Pericardial effusion in primary hypothyroidism : Tc-99m sestamibi imaging. In: Clinical Nuclear Medicine. 1995 ; Vol. 20, No. 5. pp. 457-458.
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