Young male with right-sided heart failure and pulmonary hypertension

Authors

  • J Pérez-Stachowski Servicio de Medicina Interna. Hospital Costa del Sol. Marbella (Málaga). Spain
  • E Crespo-González Servicio de Medicina Interna. Hospital Costa del Sol. Marbella (Málaga). Spain
  • JI Aguilar-García Servicio de Medicina Interna. Hospital Costa del Sol. Marbella (Málaga). Spain
  • C Romero-Gómez Servicio de Medicina Interna. Hospital Costa del Sol. Marbella (Málaga). Spain
  • J García-Alegría Servicio de Medicina Interna. Hospital Costa del Sol. Marbella (Málaga). Spain

Keywords:

hyperthyroidism, pulmonary hypertension, right-sided heart failure

Abstract

A 33-years old man with previous non-controlled hyperthyroidism was admitted to the hospital because of right-sided heart failure. In a transthoracic echocardiography (TTE) a moderate pulmonary hypertension (PH) and dilatation of the right chambers were detected. We ruled out left-sided heart failure, lung, thromboembolic, autoimmune or infectious diseases and portal hypertension. The patient received beta blockers, digoxin and carbimazole at high doses. Concurring with the normalization of the thyroid function the following TTEs showed reduction of the pulmonary artery pressure and right chambers diameter. Identifying hyperthyroidism as a cause of PH has important implications in its management and prognosis.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Sugiura T, Yamanaka S, Takeuchi H, Morimoto N, Kamioka M, Matsumura Y. Autoimmunity and pulmonary hypertension in patients with Graves’ disease. Heart Vessels. 2015 Sep; 30(5): 642-646. doi: https://doi.org/10.1007/s00380-014-0518-3.

Klein I, Danzi S. Thyroid disease and the heart. Circulation. 2007 Oct 9; 116(15): 1725-1735.

Marvisi M, Zambrelli P, Brianti M, Civardi G, Lampugnani R, Delsignore R. Pulmonary hypertension is frequent in hyperthyroidism and normalizes after therapy. Eur J Intern Med. 2006 Jul; 17(4): 267-271.

Bogaard HJ, Al Husseini A, Farkas L, Farkas D, Gómez-Arroyo J, Abbate A, et al. Severe pulmonary hypertension: The role of metabolic and endocrine disorders. Pulm Circ. 2012 Apr-Jun; 2(2): 148-154. doi: https://doi.org/10.4103/2045-8932.97592.

Ismail HM. Reversible pulmonary hypertension and isolated right-sided heart failure associated with hyperthyroidism. J Gen Intern Med. 2007 Jan; 22(1): 148-150.

Galiè N, Humbert M, Vachiery JL, Gibbs S, Lang I, Torbicki A, et al. 2015 ESC/ ERS Guidelines for the Diagnosis and Treatment of Pulmonary Hypertension. Rev Esp Cardiol (Engl Ed). 2016 Feb; 69(2): 177. doi: https://doi.org/10.1016/j.rec.2016.01.002.

Published

2016-06-30

How to Cite

1.
Pérez-Stachowski J, Crespo-González E, Aguilar-García J, Romero-Gómez C, García-Alegría J. Young male with right-sided heart failure and pulmonary hypertension. Rev Esp Casos Clin Med Intern [Internet]. 2016 Jun. 30 [cited 2024 Nov. 23];1:38-40. Available from: https://www.reccmi.com/RECCMI/article/view/760