Cardiac Tamponade as a Harbinger of Hypothyroidism
<p dir="ltr">Cardiac tamponade is a rare complication of hypothyroidism. In rarer cases, hypothyroidism may initially present with tamponade. Cardiac tamponade is an emergency condition that usually requires urgent intervention. However, guidelines for tamponade secondary to hypothyr...
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2024
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| author | Fateen Ata (12217764) |
| author2 | Fatima Al-Hattab (22052087) Ammara Bint I Bilal (14777176) Ezeddin Alataresh (22052090) Haval Surchi (20451660) |
| author2_role | author author author author |
| author_facet | Fateen Ata (12217764) Fatima Al-Hattab (22052087) Ammara Bint I Bilal (14777176) Ezeddin Alataresh (22052090) Haval Surchi (20451660) |
| author_role | author |
| dc.creator.none.fl_str_mv | Fateen Ata (12217764) Fatima Al-Hattab (22052087) Ammara Bint I Bilal (14777176) Ezeddin Alataresh (22052090) Haval Surchi (20451660) |
| dc.date.none.fl_str_mv | 2024-08-23T18:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1210/jcemcr/luae150 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Cardiac_Tamponade_as_a_Harbinger_of_Hypothyroidism/29907272 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Cardiovascular medicine and haematology Medical biochemistry and metabolomics cardiac tamponade pericardial effusion hypothyroidism thyroxine |
| dc.title.none.fl_str_mv | Cardiac Tamponade as a Harbinger of Hypothyroidism |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <p dir="ltr">Cardiac tamponade is a rare complication of hypothyroidism. In rarer cases, hypothyroidism may initially present with tamponade. Cardiac tamponade is an emergency condition that usually requires urgent intervention. However, guidelines for tamponade secondary to hypothyroidism are not optimal, and cases have been managed variably (ranging from levothyroxine alone to pericardiocentesis followed by thyroid hormone replacement) with diverse outcomes. Here, we report a case of a 42-year-old male with no medical history who presented with exertional dyspnea, lower leg swelling, facial puffiness, constipation, and weight gain. He had low blood pressure (80/60 mm Hg), normal heart rate with sinus rhythm, normal oxygen saturation, and was afebrile. Apart from a mildly raised creatinine, his test results were normal. An echocardiogram revealed features of tamponade. Further laboratory tests showed severe hypothyroidism. Following the initiation of levothyroxine, he demonstrated significant improvement. Coronary angiography revealed 95% stenosis in the mid-left anterior descending artery, treated with stenting. Serial echocardiograms showed regression of the pericardial effusion, stabilizing his condition without the need for invasive pericardiocentesis. This case highlights the importance of prompt diagnosis and management of hypothyroidism-related tamponade to prevent severe cardiac compromise. Hence, it may be necessary to consider hypothyroidism in the differential for patients with unexplained cardiac tamponade.</p><h2>Other Information</h2><p dir="ltr">Published in: JCEM Case Reports<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1210/jcemcr/luae150" target="_blank">https://dx.doi.org/10.1210/jcemcr/luae150</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_73b1a6c193bdfe4c2041d2b4d34b9630 |
| identifier_str_mv | 10.1210/jcemcr/luae150 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/29907272 |
| publishDate | 2024 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Cardiac Tamponade as a Harbinger of HypothyroidismFateen Ata (12217764)Fatima Al-Hattab (22052087)Ammara Bint I Bilal (14777176)Ezeddin Alataresh (22052090)Haval Surchi (20451660)Biomedical and clinical sciencesCardiovascular medicine and haematologyMedical biochemistry and metabolomicscardiac tamponadepericardial effusionhypothyroidismthyroxine<p dir="ltr">Cardiac tamponade is a rare complication of hypothyroidism. In rarer cases, hypothyroidism may initially present with tamponade. Cardiac tamponade is an emergency condition that usually requires urgent intervention. However, guidelines for tamponade secondary to hypothyroidism are not optimal, and cases have been managed variably (ranging from levothyroxine alone to pericardiocentesis followed by thyroid hormone replacement) with diverse outcomes. Here, we report a case of a 42-year-old male with no medical history who presented with exertional dyspnea, lower leg swelling, facial puffiness, constipation, and weight gain. He had low blood pressure (80/60 mm Hg), normal heart rate with sinus rhythm, normal oxygen saturation, and was afebrile. Apart from a mildly raised creatinine, his test results were normal. An echocardiogram revealed features of tamponade. Further laboratory tests showed severe hypothyroidism. Following the initiation of levothyroxine, he demonstrated significant improvement. Coronary angiography revealed 95% stenosis in the mid-left anterior descending artery, treated with stenting. Serial echocardiograms showed regression of the pericardial effusion, stabilizing his condition without the need for invasive pericardiocentesis. This case highlights the importance of prompt diagnosis and management of hypothyroidism-related tamponade to prevent severe cardiac compromise. Hence, it may be necessary to consider hypothyroidism in the differential for patients with unexplained cardiac tamponade.</p><h2>Other Information</h2><p dir="ltr">Published in: JCEM Case Reports<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1210/jcemcr/luae150" target="_blank">https://dx.doi.org/10.1210/jcemcr/luae150</a></p>2024-08-23T18:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1210/jcemcr/luae150https://figshare.com/articles/journal_contribution/Cardiac_Tamponade_as_a_Harbinger_of_Hypothyroidism/29907272CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/299072722024-08-23T18:00:00Z |
| spellingShingle | Cardiac Tamponade as a Harbinger of Hypothyroidism Fateen Ata (12217764) Biomedical and clinical sciences Cardiovascular medicine and haematology Medical biochemistry and metabolomics cardiac tamponade pericardial effusion hypothyroidism thyroxine |
| status_str | publishedVersion |
| title | Cardiac Tamponade as a Harbinger of Hypothyroidism |
| title_full | Cardiac Tamponade as a Harbinger of Hypothyroidism |
| title_fullStr | Cardiac Tamponade as a Harbinger of Hypothyroidism |
| title_full_unstemmed | Cardiac Tamponade as a Harbinger of Hypothyroidism |
| title_short | Cardiac Tamponade as a Harbinger of Hypothyroidism |
| title_sort | Cardiac Tamponade as a Harbinger of Hypothyroidism |
| topic | Biomedical and clinical sciences Cardiovascular medicine and haematology Medical biochemistry and metabolomics cardiac tamponade pericardial effusion hypothyroidism thyroxine |