Young male with right-sided heart failure and pulmonary hypertension
Keywords:
hyperthyroidism, pulmonary hypertension, right-sided heart failureAbstract
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.
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Copyright (c) 2016 J Pérez-Stachowski, E Crespo-González, JI Aguilar-García, C Romero-Gómez, J García-Alegría
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