Early Cardiac Tamponade in a Patient with Postsurgical Hypothyroidism
Joint Authors
Curry, Bryan H.
Sinha, Archana
Kumar, Rajan
Yeruva, Sri Lakshmi Hyndavi
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-07-30
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Sinha, Archana& Yeruva, Sri Lakshmi Hyndavi& Kumar, Rajan& Curry, Bryan H.. 2015. Early Cardiac Tamponade in a Patient with Postsurgical Hypothyroidism. Case Reports in Cardiology،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1058097
Modern Language Association (MLA)
Sinha, Archana…[et al.]. Early Cardiac Tamponade in a Patient with Postsurgical Hypothyroidism. Case Reports in Cardiology No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1058097
American Medical Association (AMA)
Sinha, Archana& Yeruva, Sri Lakshmi Hyndavi& Kumar, Rajan& Curry, Bryan H.. Early Cardiac Tamponade in a Patient with Postsurgical Hypothyroidism. Case Reports in Cardiology. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1058097
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058097