Massive Pericardial Effusion-Rare and Only Presentation of Hypothyrodism- Myxedematous HeartSachin Sondhi*, Rajeev Bhardwaj, Arvind Kandoria, Neeraj Ganju, Kunal Mahajan and Munish Dev
Department of Cardiology, Indira Gandhi Medical College, Shimla, HP, India
- *Corresponding Author:
- Sachin Sondhi
Department of Cardiology, IGMC
Shimla, HP, 171001, India Tel: +91-8219508161
E-mail: [email protected]
Received date: June 20, 2017; Accepted date: July 10, 2017; Published date: July 12, 2017
Citation: Sondhi S, Bhardwaj R, Kandoria A, Ganju N, Mahajan K, et al. (2017) Massive Pericardial EffusionâRare and Only Presentation of HypothyrodismâMyxedematous Heart. J Cardiovasc Dis Diagn 5:286. doi: 10.4172/2329- 9517.1000286
Copyright: © 2017 Sondhi S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Cardiovascular symptoms are often predominant features in patients with hyperthyroidism. But cardiovascular findings in hypothyroidism are more subtle. Hypothyroidism mainly presents as lethargy, cold intolerance, constipation, proximal muscle weakness, weight gain, decreased appetite, coarse dry skin, hair loss and nonpitting edema. Cardiovascular findings in hypothyroidism are mild degree of bradycardia, diastolic hypertension and narrow pulse pressure. Mild degree of pericardial effusion is seen in up to 30% of overtly hypothyroid patients. There are several case reports on myxedema ascites, but only few case reports of hypothyroidism presenting as massive pericardial effusion. We report a case of 54-year-old female presenting with breathlessness and found to have massive pericardial effusion without tamponade. After extensive workup, she was found to have primary hypothyroidism. In contrast, she had no other symptoms and clinical signs suggestive of hypothyroidism. She was improved after treatment with levothyroxine.