Vol 62, No 6 (2005)
Other
Published online: 2005-12-12
Submitted: 2012-12-28
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Cardiac tamponade in hypothyroidism. Probability of coexisting viral pericarditis - a case report

Waldemar Elikowski, Małgorzata Małek, Katarzyna Ziemnicka, Andrzej Kościański, Ryszard Kalawski
Kardiol Pol 2005;62(6):575-578.
Vol 62, No 6 (2005)
Other
Published online: 2005-12-12
Submitted: 2012-12-28

Abstract

Cardiac tamponade in hypothyroidism. Probability of coexisting viral pericarditis - a case report: The authors describe a case of a 50-year-old woman admitted to hospital with clinical symptoms of a cardiac tamponade. Pericardiocentesis was done and 850 ml of fluid were drained during three days. Relatively slow heart rate (82/min before, and 60/min post intervention) and initial laboratory data: marked hipercholesterolemia (8,2 mmol/l) and high CK activity (1830 IU/l) were typical of hypothyroidism. Examination of hormone levels confirmed this suspicion (TSH 162 uIU/ml, fT4 0,11 µg/dl, fT3 0,4 pmol/l). USG image and antithyroid antibodies presence (anti-TPO >3000 U/ml) helped in diagnosing of autoimmune thyroiditis. During substitution therapy with L- thyroxine her clinical status improved systematically. Additionally, an increased raised serum titre of Coxackie B virus antibodies (B3-B5 >1/256) suggested coexisting viral pericarditis. Two months before hospitalization she had symptoms of viral infection. A review of current literature on the subject is presented.

Abstract

Cardiac tamponade in hypothyroidism. Probability of coexisting viral pericarditis - a case report: The authors describe a case of a 50-year-old woman admitted to hospital with clinical symptoms of a cardiac tamponade. Pericardiocentesis was done and 850 ml of fluid were drained during three days. Relatively slow heart rate (82/min before, and 60/min post intervention) and initial laboratory data: marked hipercholesterolemia (8,2 mmol/l) and high CK activity (1830 IU/l) were typical of hypothyroidism. Examination of hormone levels confirmed this suspicion (TSH 162 uIU/ml, fT4 0,11 µg/dl, fT3 0,4 pmol/l). USG image and antithyroid antibodies presence (anti-TPO >3000 U/ml) helped in diagnosing of autoimmune thyroiditis. During substitution therapy with L- thyroxine her clinical status improved systematically. Additionally, an increased raised serum titre of Coxackie B virus antibodies (B3-B5 >1/256) suggested coexisting viral pericarditis. Two months before hospitalization she had symptoms of viral infection. A review of current literature on the subject is presented.
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Keywords

cardiac tamponade - hypothyroidism - autoimmune thyroiditis- viral pericarditis

About this article
Title

Cardiac tamponade in hypothyroidism. Probability of coexisting viral pericarditis - a case report

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 62, No 6 (2005)

Pages

575-578

Published online

2005-12-12

Bibliographic record

Kardiol Pol 2005;62(6):575-578.

Keywords

cardiac tamponade - hypothyroidism - autoimmune thyroiditis- viral pericarditis

Authors

Waldemar Elikowski
Małgorzata Małek
Katarzyna Ziemnicka
Andrzej Kościański
Ryszard Kalawski

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