Cardiac tamponade in Hashimoto's disease
ABSTRACT Myxedematous pericardial effusions, occurring in about one-third of patients with hypothyroidism, usually do not cause symptoms and regress slowly with hormonal treatment. We report a cardiac tamponade inaugural of a Hashimoto's disease.
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ABSTRACT: The authors present a case of a 44-year-old female with unrecognised hypothyroidism consulting for heart failure symptoms. Echocardiogram revealed massive pericardial effusion with tamponade physiology, attributed to primary hypothyroidism from a previous thyroidectomy. Levothyroxine was started at a dose of 0.7 ug/kg/day followed by subxiphoid pericardiostomy. 9 h postpericardiostomy however, hypotension developed and despite hydration and inotropic support, patient succumbed to cardiogenic shock on the 14th hospital day.Case Reports 10/2011; 2011. DOI:10.1136/bcr.04.2011.4117