Pericardial Effusion with Cardiac Tamponade Revealing Primary Hypothyroidism about 3 Cases Ousmane Diawara, M. Camara, T. Camara, F. Ekoba, M. El Jamili Published: April 21, 2023 | 9 8 DOI: 10.36347/sjmcr.2023.v11i04.050 Pages: 610-613 Downloads Abstract Cardiac tamponade revealing hypothyroidism was reported in our department in 3 cases. Clinical, electrocardiographic, echocardiographic and biological data were examined. These patients were characterized by a cardiovascular risk factor of smoking, clinically by polypneic dyspnea (25, 30 cycles/min) vs. 19 cycles/min respectively, low blood pressure (70/50, 90/60) vs. 100/75 mmhg, significantly higher heart rate (120, 135) vs. 87 beats/min, normal sinus rhythm, microvoltage, flat T wave, and clear yellowish pericardial fluid (2 of 3). Biologically, anemia with hb respectively (6g, 9g and 9.8g); Tsh (15.9µUI, 90µUI, 110µUI); T3 (0.17; 0.20; 0.26) One patient (33%) had echocardiographic evidence of tamponade without a paradoxical pulse and was successfully treated with thyroxine without pericardial drainage. Tamponade with sinus tachycardia, hypothyroidism should be strongly suspected, although an urgent pericardiocentesis should be performed

Autor: xOusmane Diawara, M. Camara, T. Camara, F. Ekoba, M. El Jamili
Rok vydání: 2023
Předmět:
Zdroj: Scholars Journal of Medical Case Reports. 11:610-613
ISSN: 2347-6559
2347-9507
DOI: 10.36347/sjmcr.2023.v11i04.050
Popis: Cardiac tamponade revealing hypothyroidism was reported in our department in 3 cases. Clinical, electrocardiographic, echocardiographic and biological data were examined. These patients were characterized by a cardiovascular risk factor of smoking, clinically by polypneic dyspnea (25, 30 cycles/min) vs. 19 cycles/min respectively, low blood pressure (70/50, 90/60) vs. 100/75 mmhg, significantly higher heart rate (120, 135) vs. 87 beats/min, normal sinus rhythm, microvoltage, flat T wave, and clear yellowish pericardial fluid (2 of 3). Biologically, anemia with hb respectively (6g, 9g and 9.8g); Tsh (15.9µUI, 90µUI, 110µUI); T3 (0.17; 0.20; 0.26) One patient (33%) had echocardiographic evidence of tamponade without a paradoxical pulse and was successfully treated with thyroxine without pericardial drainage. Tamponade with sinus tachycardia, hypothyroidism should be strongly suspected, although an urgent pericardiocentesis should be performed.
Databáze: OpenAIRE
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