Location of Repository

Hyperthyroidism as a reversible cause of right ventricular overload and congestive heart failure

By Raniero Di Giovambattista

Abstract

We describe a case of severe congestive heart failure and right ventricular overload associated with overt hyperthyroidism, completely reversed with antithyroid therapy in a few week. It represents a very unusual presentation of overt hyperthyroidism because of the severity of right heart failure. The impressive right ventricular volume overload made mandatory to perform transesophageal echo and angio-TC examination to exclude the coexistence of ASD or anomalous pulmonary venous return. Only a few cases of reversible right heart failure, with or without pulmonary hypertension, have been reported worldwide. In our case the most striking feature has been the normalization of the cardiovascular findings after six weeks of tiamazole therapy

Topics: Case Report
Publisher: BioMed Central
OAI identifier: oai:pubmedcentral.nih.gov:2440368
Provided by: PubMed Central
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • http://www.pubmedcentral.nih.g... (external link)
  • Suggested articles

    Preview

    Citations

    1. (1982). Abnormal left ventricular function in hyperthyroidism: evidence for possible reversible cardiomyopathy.
    2. (2004). CN: Reversible pulmonary hypertension, tricuspid regurgitation and right-sided heart failure associated with hyperthyroidism: case report and review of the literature. Cardiol Rev
    3. (2007). Danzi S: Thyroid Disease and the Heart. Circulation
    4. (2008). E: Mujer joven con hipertiroidismo asociado a insuficiencia tricuspidea grave. Medicina (B. Aires)
    5. (2002). Fazio S: Effects of thyroid hormone on cardiac function.
    6. Grave's disease presenting as right heart failure.
    7. (2005). Littmann: Hyperthyroidism presenting as isolated tricuspid regurgitation and right heart failure. Tex Heart Inst J
    8. (2007). MD: Cardiovascular manifestations of hyperthyroidism before and after antithyroid therapy.
    9. (2001). Ojamaa K: Thyroid hormone and the cardiovascular system.
    10. (2007). Reversible pulmonary hypertension and isolated right-sided heart failure associated with hyperthyroidism.
    11. (2003). Shattner A: Right heart failure and hyperthyroidism: a neglected presentation.
    12. (2007). Tse HF: Incidence, clinical characteristics and outcome of congestive heart failure as the initial presentation in patients with primary hyperthyrpoidism. Heart

    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.