Cardiac Tamponade in a Patient With Hypothyroidism: A Case Report
Keywords:cardiac tamponade, hypothyroidism, levothyroxine
Cardiac tamponade as a manifestation in newly diagnosed hypothyroidism is a rare condition because
fluid accumulate slowly. We present a 38-year-old woman with massive pericardial effusion with
cardiac tamponade findings in echocardiography without hemodynamic disturbance. Pericardiocentesis
was done, but pericardial effusion was not improved. Other secondary causes of pericardial effusion
including inflammation, infection, autoimmune disease, and malignancy were ruled out. The patient
had a history of thyroidectomy 4 years prior and thyroid function test confirm the diagnosis of
hypothyroidism. The patient was given levothyroxine with initial dose of 400 mcg and continued with
100 mcg daily. The pericardial effusion significantly improved in a week.
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