cardiac tamponade as the initial manifestation of severe hypothyroidism a case report心脏填塞作为初始表现严重的甲状腺功能减退情况报告.pdfVIP

World Journal of Cardiovascular Diseases, 2012, 2, 321-325 WJCD /10.4236/wjcd.2012.24051 Published Online October 2012 (http://www.SciRP.org/journal/wjcd/) Cardiac tamponade as the initial manifestation of severe hypothyroidism: A case report 1,2* 2,3 2 1,2 Ronny Cohen , Pablo Loarte , Simona Opris , Brooks Mirrer 1 NYU School of Medicine, New York, USA 2Division of Cardiology, Woodhull Medical Center, New York, USA 3Division of Nephrology and Hypertension, Brookdale University Hospital and Medical Center, New York, USA * Email: ronny.cohen@ Received 11 May 2012; revised 14 June 2012; accepted 23 June 2012 ABSTRACT incidence of pericardial effusion secondary to hypothy- roidism varies in different studies from 30% to 80% [2]. Background: Hypothyroidism is a commonly seen con- Cardiac tamponade as a complication of hypothyroidism dition. The presence of pericardial effusion with car- is very rare [3]. Until 1992, there were less than 30 cases diac tamponade as initial manifestation of this endoc- described and even more recently there are only few rinological condition is very unusual. Objectives: In cases found in the world literature. This low incidence is hypothyroidism pericardial fluid accumulates slowly, most likely due to slow accumulation of fluid and grad- allowing