Pericardial decompression syndrome in a patient with hypothyroidism presenting as massive pericardial effusion: a case report and review of related literature
- 1Department of Medicine, Section of Endocrinology, Diabetes and Metabolism, UP-Philippine General Hospital, Manila, Philippines
- 2Department of Medicine, Section of Endocrinology, Diabetes and Metabolism, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines
- 3Department of Medicine, Section of Cardiovascular Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines
- Correspondence to Dr Aveline Sue Ann Lim Lim,
The authors present a case of a 44-year-old female with unrecognised hypothyroidism consulting for heart failure symptoms. Echocardiogram revealed massive pericardial effusion with tamponade physiology, attributed to primary hypothyroidism from a previous thyroidectomy. Levothyroxine was started at a dose of 0.7 ug/kg/day followed by subxiphoid pericardiostomy. 9 h postpericardiostomy however, hypotension developed and despite hydration and inotropic support, patient succumbed to cardiogenic shock on the 14th hospital day.
Competing interests Fellow-in-training, research requirements
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