Document Detail

Pericardial decompression syndrome in a patient with hypothyroidism presenting as massive pericardial effusion: a case report and review of related literature.
MedLine Citation:
PMID:  22679149     Owner:  NLM     Status:  MEDLINE    
The authors present a case of a 44-year-old female with unrecognised hypothyroidism consulting for heart failure symptoms. Echocardiogram revealed massive pericardial effusion with tamponade physiology, attributed to primary hypothyroidism from a previous thyroidectomy. Levothyroxine was started at a dose of 0.7 ug/kg/day followed by subxiphoid pericardiostomy. 9 h postpericardiostomy however, hypotension developed and despite hydration and inotropic support, patient succumbed to cardiogenic shock on the 14th hospital day.
Aveline Sue Ann Lim Lim; Elizabeth Paz-Pacheco; Michael Reyes; Felix Punzalan
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-10-04
Journal Detail:
Title:  BMJ case reports     Volume:  2011     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2011  
Date Detail:
Created Date:  2012-06-08     Completed Date:  2013-05-24     Revised Date:  2013-10-17    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
Department of Medicine, Section of Endocrinology, Diabetes and Metabolism, UP-Philippine General Hospital, Manila, Philippines.
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MeSH Terms
Diagnosis, Differential
Fatal Outcome
Goiter / surgery
Hypothyroidism / complications*,  diagnosis,  drug therapy
Pericardial Effusion / diagnosis,  etiology*,  surgery
Pericardial Window Techniques
Radiography, Thoracic
Thyroid Function Tests

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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