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Emerg Med Australas · Jun 2011
Case ReportsMassive pericardial effusion with diastolic right ventricular compression secondary to hypothyroidism in a 73-year-old woman.
- Chung-Yueh Hsieh, Bing-Yi Liu, Yung-Nien Yang, Wei-Hsian Yin, and Mason-Shing Young.
- Department of Internal Medicine, Armed Forces Taoyuan General Hospital, Taoyuan, Taiwan.
- Emerg Med Australas. 2011 Jun 1;23(3):372-5.
AbstractPericardial effusion is commonly seen in patients with hypothyroidism, but a massive pericardial effusion with obvious diastolic right ventricular compression is uncommon. We herein report a case of 73-year-old woman seen in the ED with generalized weakness and hypotension. Echocardiography revealed a massive pericardial effusion with diastolic right ventricular compression, and thyroid function testing revealed marked hypothyroidism. The pericardial effusion resolved after the administration of thyroid replacement therapy. This case reveals the importance of including hypothyroidism in the differential diagnosis of pericardia effusion.© 2011 The Authors. EMA © 2011 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.
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