Early Cardiac Tamponade in a Patient with Postsurgical Hypothyroidism
Pericardial effusion is a common cardiac manifestation of hypothyroidism, but effusion resulting in cardiac tamponade is extremely rare. We present a case of a 56-year-old African American woman with slurred speech and altered mental status that was initially suspected to have stroke. Her chest X-r...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2015/310350 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832549680576200704 |
|---|---|
| author | Archana Sinha Sri Lakshmi Hyndavi Yeruva Rajan Kumar Bryan H. Curry |
| author_facet | Archana Sinha Sri Lakshmi Hyndavi Yeruva Rajan Kumar Bryan H. Curry |
| author_sort | Archana Sinha |
| collection | DOAJ |
| description | Pericardial effusion is a common cardiac manifestation of hypothyroidism, but effusion resulting in cardiac tamponade is extremely rare. We present a case of a 56-year-old African American woman with slurred speech and altered mental status that was initially suspected to have stroke. Her chest X-ray revealed cardiomegaly and subsequent echocardiogram showed a large pericardial effusion with echocardiographic evidence of cardiac tamponade. Clinically, patient did not have pulsus paradoxus or hypotension. Further questioning revealed a history of total surgical thyroidectomy and noncompliance with thyroid replacement therapy. Pericardiocentesis was performed promptly and thyroxine replacement therapy was started. Thereafter, her mental status improved significantly. The management of pericardial effusion associated with hypothyroidism varies depending on size of effusion and hemodynamic stability of the patient. The management strategy ranges from conservative management with close monitoring and thyroxine replacement to pericardiocentesis or creation of a pericardial window. |
| format | Article |
| id | doaj-art-c167c78db25e4f0c8b924b648aeb9f8b |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-c167c78db25e4f0c8b924b648aeb9f8b2025-02-03T06:10:51ZengWileyCase Reports in Cardiology2090-64042090-64122015-01-01201510.1155/2015/310350310350Early Cardiac Tamponade in a Patient with Postsurgical HypothyroidismArchana Sinha0Sri Lakshmi Hyndavi Yeruva1Rajan Kumar2Bryan H. Curry3Division of Cardiology, Saint Luke’s University Health Network, Bethlehem, PA 18015, USADivision of Hematology and Oncology, Howard University Hospital, 2041 Georgia Avenue NW, Washington, DC 20060, USADivision of Cardiology, Saint Luke’s University Health Network, Bethlehem, PA 18015, USADivision of Cardiology, Howard University Hospital, 2041 Georgia Avenue NW, Washington, DC 20060, USAPericardial effusion is a common cardiac manifestation of hypothyroidism, but effusion resulting in cardiac tamponade is extremely rare. We present a case of a 56-year-old African American woman with slurred speech and altered mental status that was initially suspected to have stroke. Her chest X-ray revealed cardiomegaly and subsequent echocardiogram showed a large pericardial effusion with echocardiographic evidence of cardiac tamponade. Clinically, patient did not have pulsus paradoxus or hypotension. Further questioning revealed a history of total surgical thyroidectomy and noncompliance with thyroid replacement therapy. Pericardiocentesis was performed promptly and thyroxine replacement therapy was started. Thereafter, her mental status improved significantly. The management of pericardial effusion associated with hypothyroidism varies depending on size of effusion and hemodynamic stability of the patient. The management strategy ranges from conservative management with close monitoring and thyroxine replacement to pericardiocentesis or creation of a pericardial window.http://dx.doi.org/10.1155/2015/310350 |
| spellingShingle | Archana Sinha Sri Lakshmi Hyndavi Yeruva Rajan Kumar Bryan H. Curry Early Cardiac Tamponade in a Patient with Postsurgical Hypothyroidism Case Reports in Cardiology |
| title | Early Cardiac Tamponade in a Patient with Postsurgical Hypothyroidism |
| title_full | Early Cardiac Tamponade in a Patient with Postsurgical Hypothyroidism |
| title_fullStr | Early Cardiac Tamponade in a Patient with Postsurgical Hypothyroidism |
| title_full_unstemmed | Early Cardiac Tamponade in a Patient with Postsurgical Hypothyroidism |
| title_short | Early Cardiac Tamponade in a Patient with Postsurgical Hypothyroidism |
| title_sort | early cardiac tamponade in a patient with postsurgical hypothyroidism |
| url | http://dx.doi.org/10.1155/2015/310350 |
| work_keys_str_mv | AT archanasinha earlycardiactamponadeinapatientwithpostsurgicalhypothyroidism AT srilakshmihyndaviyeruva earlycardiactamponadeinapatientwithpostsurgicalhypothyroidism AT rajankumar earlycardiactamponadeinapatientwithpostsurgicalhypothyroidism AT bryanhcurry earlycardiactamponadeinapatientwithpostsurgicalhypothyroidism |