Hyperthyroidism with Biventricular Heart Failure and Cirrhotic Transformation of the Liver
Joint Authors
Oladiran, Oreoluwa
Dhital, Rashmi
Vyas, Shivani
Sharma, Priyadarshani
Lynn, Theresa
Basnet, Sijan
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-12-09
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Cardiovascular symptoms remain the most common presenting features and leading causes of death in hyperthyroidism.
We report a young female with reported thyroid disease and medication noncompliance presenting with atrial fibrillation, severe atrioventricular regurgitation, severely dilated right heart with reduced function, and moderate pulmonary hypertension (PH), which was further complicated by congestive liver injury with ascites and pancytopenia.
Thyroid work-up revealed suppressed TSH, elevated free T4 and T3 along with elevated anti-thyroglobulin antibodies, thyroid peroxidase antibodies, and thyroid-stimulating immunoglobulin, suggesting Graves’ thyrotoxicosis.
Ultrasound of the abdomen was suggestive of liver cirrhosis and ascites, which was thought to be cardiac cirrhosis, after multiple negative work-ups for alternate causes of cirrhosis.
Ascitic fluid analysis revealed portal hypertension as the cause.
The patient was restarted on antithyroid medication with gradual improvement of thyroid function and in clinical and echocardiogram findings.
In contrast to primary PH that carries a poor prognosis and has limited treatment options, PH due to Graves’ disease carries a good prognosis with prior reports of resolution after appropriate treatment, emphasizing the importance of early recognition.
Also, unlike cirrhosis caused by alcohol or viral hepatitis, the effect of cardiac cirrhosis on overall prognosis has not been clearly established.
American Psychological Association (APA)
Dhital, Rashmi& Vyas, Shivani& Sharma, Priyadarshani& Lynn, Theresa& Oladiran, Oreoluwa& Basnet, Sijan. 2018. Hyperthyroidism with Biventricular Heart Failure and Cirrhotic Transformation of the Liver. Case Reports in Cardiology،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1140886
Modern Language Association (MLA)
Dhital, Rashmi…[et al.]. Hyperthyroidism with Biventricular Heart Failure and Cirrhotic Transformation of the Liver. Case Reports in Cardiology No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1140886
American Medical Association (AMA)
Dhital, Rashmi& Vyas, Shivani& Sharma, Priyadarshani& Lynn, Theresa& Oladiran, Oreoluwa& Basnet, Sijan. Hyperthyroidism with Biventricular Heart Failure and Cirrhotic Transformation of the Liver. Case Reports in Cardiology. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1140886
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1140886