Emergency medicine Australasia : EMA
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Emerg Med Australas
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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.
Pericardial 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. ⋯ 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.