Chung-Yueh Hsieh, MD, Attending Physician; Bing-Yi Liu, MD, Director; Yung-Nien Yang, MD, Attending Physician; Wei-Hsian Yin, PhD, Director ; Mason-Shing Young, MD, Vice President.
Massive pericardial effusion with diastolic right ventricular compression secondary to hypothyroidism in a 73-year-old woman
Article first published online: 14 JUN 2011
© 2011 The Authors. EMA © 2011 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine
Emergency Medicine Australasia
Volume 23, Issue 3, pages 372–375, June 2011
How to Cite
Hsieh, C.-Y., Liu, B.-Y., Yang, Y.-N., Yin, W.-H. and Young, M.-S. (2011), Massive pericardial effusion with diastolic right ventricular compression secondary to hypothyroidism in a 73-year-old woman. Emergency Medicine Australasia, 23: 372–375. doi: 10.1111/j.1742-6723.2011.01425.x
- Issue published online: 14 JUN 2011
- Article first published online: 14 JUN 2011
- Accepted 28 January 2011
- cardiac tamponade;
- pericardial effusion
Pericardial effusion is commonly seen in patients with hypothyroidism, but a massive pericardial effusion with obvious diastolic right ventricular compression is uncommon. We herein report a case of 73-year-old woman seen in the ED with generalized weakness and hypotension. Echocardiography revealed a massive pericardial effusion with diastolic right ventricular compression, and thyroid function testing revealed marked hypothyroidism. The pericardial effusion resolved after the administration of thyroid replacement therapy. This case reveals the importance of including hypothyroidism in the differential diagnosis of pericardia effusion.