Pericardiocentesis in massive pericardial effusions due to hypothyroidism

Pericardial effusion is the accumulation of abnormal fluid in the pericardial cavity. The symptoms are not specific and associated with the underlying disease. It was reported that a 53-year-old male patient entered the Emergency Room with a shortness of breath, and getting worse during activity and...

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Bibliographic Details
Published in:IOP conference series. Earth and environmental science 2018-03, Vol.125 (1), p.12172
Main Authors: Nainggolan, F H, Dalimunthe, N N, Harahap, S, Isnanta, R, Realsyah, T, Safri, Z, Hasan, R
Format: Article
Language:English
Subjects:
Deoxyribonucleic acid
Diabetes mellitus
DNA
Echocardiography
Edema
Effusion
EKG
Electrocardiography
Emergency medical services
Hypercholesterolemia
Hypertension
Hypothyroidism
Laboratories
Laboratory tests
Lipids
Low voltage
Malignancy
Mantoux test
Nodules
Renal function
Signs and symptoms
Thorax
Thyroid
Weight loss
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Summary:Pericardial effusion is the accumulation of abnormal fluid in the pericardial cavity. The symptoms are not specific and associated with the underlying disease. It was reported that a 53-year-old male patient entered the Emergency Room with a shortness of breath, and getting worse during activity and position. There was weight loss and smoking history. The history of diabetic, hypertension and malignancy were denied. On physical examination showed the enlarged right and left heart border and weakened heartbeat sheer off is found and edema pretibial and normal the other. The laboratory results;blood routine, renal and liver function within normal; lipid profile: hypercholesterolemia; viral marker is non-reactive.Rontgen thorax suggests cardiomegaly, but there was no infiltrate or nodules. Electrocardiogram (ECG) showed a low voltage. Echocardiography examination showed massive pericardial effusion. Pericardiosynthetis performed produces 750 cc of clear yellow liquid and showed transudate. Other laboratory tests such as ANA test, anti ds-DNA, cyfra were a normal impression. Thyroid function: hypothyroid, Mantoux test is negative. Finally, the patient is a massive pericardial effusion caused by hypothyroidism. The pericardiocentesis took, and the hypothyroid drug of euthirax is administered. The patient was well done and continued for recontrol.
ISSN:1755-1307
1755-1315
DOI:10.1088/1755-1315/125/1/012172