Resumen
Abstract: Introduction: Hypothyroidism is a common endocrine disorder with multiorgan involvement. Pericardial effusion usually occurs in longstanding severe hypothyroidism. Clinical description: 68-year-old female patient with a 3-week history of dyspnea, dysphonia, fatigue, and lower limb swelling. Initial laboratory workup reported elevated thyroid stimulating hormone (TSH). Chest x-ray showed cardiomegaly. Echocardiography revealed pericardial effusion and diastolic collapse of the right ventricle. Percutaneous pericardial drainage was performed, and levothyroxine initiated. Five days later, the patient was discharged with resolution of symptoms and no residual effusion. Discussion: Timely detection of cardiovascular complications such as pericardial effusion can prevent further hemodynamic compromise and death.
Citas
Chahine, J., Klein, A.L., Ala, C.K., Gentry, J.L., Pantalone KM. Pericardial diseases in patients with hypothyroidism. Heart. 2019, Jul.; 105(13) :1027-1033. DOI: 10.1136/heartjnl-2018-314528.
Klein, I., Danzi, S. Thyroid Disease and the Heart. Curr Probl Cardiol. 2015, Feb.; 41(2): 65–92. DOI: 10.1016/j.cpcardiol.2015.04.002
Adler, Y., Charron, P., Imazio, M., Badano, L., Barón-Esquivias, G., Bogaert, J., et al. 2015 ESC Guidelines for the diagnosis and management of pericardial diseases : The Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC) Endorsed by: The European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J. 2015, Nov.; 36(42): 2921–2964. https://doi.org/10.1093/eurheartj/ehv318
Wang, J.L., Hsieh, M.J., Lee, C.H., Chen, C.C., Hsieh, I.C., Lin, J.-D., et al. Hypothyroid cardiac tamponade: clinical features, electrocardiography, pericardial fluid and management. Am J Med Sci. 2010, Oct.; 340(4): 276-281. DOI: 10.1097/MAJ.0b013e3181e664c6
Butala, A., Chaudhari, S., Sacerdote, A. Cardiac tamponade as a presenting manifestation of severe hypothyroidism. BMJ Case Rep. 2013, Feb.; bcr2012005281. DOI: 10.1136/bcr-12-2011-5281
Karu, A.K., Khalife, W.I., Houser, R., VanderWoude, J. Impending cardiac tamponade as a primary presentation of hypothyroidism: Case report and review of literature. Endocr Pract. 2005, July; 11(4): 265–271. DOI: 10.4158/EP.11.4.265
Copyright
License
Copyright (c) 2023 Carlos G. Nitsch-Montiel, Cynthia G. Nitsch-Yat, José L. López-Villatoro
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors who publish in this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License 4.0 (CC BY-NC_SA 4.0) that indicates: a) It is allowed that others share the work, with an acknowledgement of the work's authorship and initial publication in this journal, b) The work may not be used for commercial purposes, c) If it's remixed, transformed, or built upon the material, one must distribute the contributions under the same license as the original
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository, website or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
© 2023 Carlos G. Nitsch-Montiel, Cynthia G. Nitsch-Yat, José L. López-Villatoro
