GRAVES’ DISEASE INDUCED REVERSIBLE SEVERE RIGHT HEART FAILURE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 30
Abstract
A middle aged man presented with evidence of right-sided heart failure in atrial fibrillation (AF) and was found to have severe Tricuspid Regurgitation (TR) with pulmonary artery hypertension (PAH), with normal left ventricular function. The common possible secondary causes of PAH were ruled out, but during investigation he was found to have elevated thyroid function tests compatible with the diagnosis of Graves’ disease. The treatment of Graves’ disease was started with anti-thyroid drugs and associated with a significant reduction in the pulmonary arterial pressure. This case report is presented to highlight one of the rare and underdiagnosed presentations of Graves’ disease. Thyrotoxicosis can present with profound cardiovascular complications. In recent times, there have been few reports of secondary PAH with TR in patients with hyperthyroidism. Previously asymptomatic Graves’ disease having the signs and symptoms of right heart failure is a rare presentation and the association could be easily missed. This case presentation emphasizes that the diagnosis of thyroid heart disease with heart failure secondary to Graves’ disease should be considered in any patient regardless of age, gender with clinical features of heart failure of unknown etiology and timely initiation of anti-thyroid drugs is necessary to treat these reversible cardiac failures.
Authors and Affiliations
Kathyayani M. K. M, Rambabu K, Sreenivas S. , Sunil Kumar P.
Keywords
Related Articles
- EP ID EP229140
- DOI 10.18410/jebmh/2015/634
- Views 64
- Downloads 0
A STUDY ON THE ROLE OF MICRO NUCLEI IN ASSESSING THE PROGRESSION OF PRECANCEROUS LESIONS OF CERVIX AND THE DIAGNOSIS OF CARCINOMA OF CERVIX
BACKGROUND: Invasive squamous cell carcinoma of cervix remains the most common malignant neoplasm of the female genital tract in many countries. The Papanicolaou stained cervical smear is an excellent and effective metho...
PSEUDOMESOTHELIOMATOUS ADENOCARCINOMA RELATED PLEURAL EFFUSIONCONTEMPLATE THE DIFFERENTIAL!
PRESENTATION OF THE CASE Pseudomesotheliomatous adenocarcinoma is a variant of peripheral lung carcinoma that is characterized by extensive invasion of pleura which closely resembles malignant pleural mesothelioma clinic...
A STUDY OF INCIDENCE OF ACTINOMYCOSIS IN TONSILLECTOMY SPECIMENS, ETIOLOGICAL SIGNIFICANCE AND HISTOPATHOLOGY FEATURES IN A REGION OF RURAL TELANGANA
BACKGROUND Actinomycosis of the tonsillar tissue is a rare pathological condition whose clinical significance has been disputed by authors worldwide. This is a retrospective study of tonsillectomy specimens resected for...
SELECTIVE SYNOVIAL BIOPSY IN CHRONIC SYNOVITIS KNEE – A STUDY
Arthroscopy assisted selective synovial biopsy was performed in 40 Patients with chronic synovitis of the knee presented to Orthopaedic outpatient department at Government General Hospital, Kurnool. Common histo-morpholo...
CRITICAL CARE MANAGEMENT OF THIRD STAGE COMPLICATION: ACUTE PUERPERAL UTERINE INVERSION
Acute puerperal uterine inversion is a rare complication of third stage of labour. When it occurs it is life threatening obstetric emergency and usually associated with post-partum hemorrhage and shock. Condition should...