Abstract
We describe a case of severe congestive heart failure and right ventricular overload associated with overt hyperthyroidism, completely reversed with antithyroid therapy in a few week. It represents a very unusual presentation of overt hyperthyroidism because of the severity of right heart failure. The impressive right ventricular volume overload made mandatory to perform transesophageal echo and angio-TC examination to exclude the coexistence of ASD or anomalous pulmonary venous return. Only a few cases of reversible right heart failure, with or without pulmonary hypertension, have been reported worldwide. In our case the most striking feature has been the normalization of the cardiovascular findings after six weeks of tiamazole therapy.
MeSH terms
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Adrenergic beta-Antagonists / therapeutic use
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Drug Therapy, Combination
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Dyspnea / diagnosis
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Dyspnea / etiology
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Echocardiography, Transesophageal
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Electrocardiography
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Female
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Follow-Up Studies
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Furosemide / therapeutic use
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Heart Failure / drug therapy
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Heart Failure / etiology*
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Heart Failure / physiopathology
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Heparin, Low-Molecular-Weight / therapeutic use
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Humans
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Hyperthyroidism / complications*
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Hyperthyroidism / diagnosis
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Hyperthyroidism / drug therapy*
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Methimazole / therapeutic use
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Middle Aged
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Recovery of Function
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Risk Assessment
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Severity of Illness Index
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Thyroid Function Tests
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Treatment Outcome
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Ventricular Dysfunction, Right / drug therapy
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Ventricular Dysfunction, Right / etiology*
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Ventricular Dysfunction, Right / physiopathology
Substances
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Adrenergic beta-Antagonists
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Heparin, Low-Molecular-Weight
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Methimazole
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Furosemide