Abstract
Although hypothyroidism with primary etiology could cause small pericardial effusion, massive one leading to cardiac tamponade and ventricular diastolic compression is rare and less reported in the literature. Here we described a patient with severe primary hypothyroidism leading to pericardial effusion and right ventricular compression. A 56-year-old diabetic man referred to the emergency department complaining of dyspnea worsening over the prior month. Further evaluations including electrocardiography, chest X-ray, and echocardiography plus laboratory data were requested. Para-clinic data revealed massive pericardial effusion in the presence of primary hypothyroidism. Pericardiocentesis was performed due to his severe symptoms which symptoms improvement were considerably achieved. Despite its rareness, hypothyroidism should be kept in mind whenever evaluating patients with massive pericardial effusion, especially after exclusion of other more common etiologies.
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Bahrani, S., Emami, S.A., Vakhshoori, M. et al. Primary Hypothyroidism Leading to Massive Pericardial Effusion and Diastolic Right Ventricular Compression: a Case Report. SN Compr. Clin. Med. 1, 924–927 (2019). https://doi.org/10.1007/s42399-019-00110-4
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DOI: https://doi.org/10.1007/s42399-019-00110-4