Key result
Urgent pericardiocentesis followed by l-thyroxine supplementation resulted in dramatic improvement in blood pressure and general condition in a patient with hypothyroid cardiac tamponade.
Case Report (n=1)
No
Cardiac tamponade is a rare but life-threatening complication of primary hypothyroidism that can be effectively managed with urgent pericardiocentesis and l-thyroxine supplementation.
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May support pericardiocentesis plus thyroxine in hypothyroid tamponade; hypothesis-generating and requires confirmation in larger studies.
Pericardial effusion is not so uncommon in hypothyroidism, but pericardial tamponade is very rare entity. Hypothyroidism complicated by pericardial tamponade is very rarely referenced in the medical literature. Here we report a rare case of a 70 year old female, who presented with breathlessness and was found to have hypothyroidism with large pericardial effusion complicating into pericardial tamponade. Management included urgent pericardiocentesis followed by l-thyroxine supplementation.
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Pyarsabadi et al. (2017) conducted a case report in Primary hypothyroidism with pericardial tamponade (n=1). Pericardiocentesis and l-thyroxine was evaluated on Symptomatic and hemodynamic improvement. Urgent pericardiocentesis followed by l-thyroxine supplementation resulted in dramatic improvement in blood pressure and general condition in a patient with hypothyroid cardiac tamponade.
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