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14,593 results
  • Massive pericardial effusion without cardiac tamponade due to subclinical hypothyroidism (Hashimoto's disease). [Journal Article]
  • RRRural Remote Health 2018; 18(2):4384
  • Papakonstantinou PE, Gourniezakis N, … Gikas A
  • CONCLUSIONS: This was a rare case of an elderly female patient from a rural village with chronic massive pericardial effusion due to subclinical hypothyroidism without cardiac tamponade. Hypothyroidism should be included in the differential diagnosis of pericardial effusion, especially in a case of unexplained pericardial fluid. Initiation of hormone replacement therapy should be personalised in elderly patients. TSH levels >10 mU/L usually require therapy with levothyroxine in order to prevent adverse events. Rural patients usually do not have regular follow-up after the initiation of hormone replacement therapy. Pericardial effusions due to hypothyroidism grow slowly and subclinical hypothyroidism rarely shows signs and symptoms and can be underdiagnosed. The ESC position statement on triage strategy for pericardial diseases is a valuable clinical tool to estimate the necessity for pericardial drainage in such cases.
  • Colchicine In Epistenocardiac Pericarditis. [Journal Article]
  • CMConn Med 2016; 80(9):549-551
  • Chhabra L, Kowlgi NG, Spodick DH
  • Epistenocardiac pericarditis (EP) is a rare form of pericarditis which occurs in the early period after a myocardial infarction (MI) and is commonly regionalized to the area of infarction. The prefer...
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