Download PDF
Int J Angiol 2011; 20(3): 177-180
DOI: 10.1055/s-0031-1284201
CASE REPORT

© Thieme Medical Publishers

A Rare Case of Amiodarone-Induced Hypothyroidism Presenting with Cardiac Tamponade

Ali Motabar1 , Ramtin Anousheh1 , Rimon Shaker1 , Ramdas G. Pai1
  • 1Department of Cardiology, Loma Linda University Medical Center, Loma Linda, CA
Further Information

Publication History

Publication Date:
14 July 2011 (online)

    Permissions and Reprints

ABSTRACT

Subclinical pericardial effusions are common in patients with untreated hypothyroidism and usually resolve with thyroid replacement therapy, but cardiac tamponade is a rare presentation of prolonged untreated hypothyroidism. We report the first case of cardiac tamponade due to hypothyroidism produced by administration of amiodarone.

KEYWORDS

Cardiac tamponade - hypothyroidism - amiodarone therapy

REFERENCES

  • 1 Sachdev Y, Hall R. Effusions into body cavities in hypothyroidism.  Lancet. 1975;  1 (7906) 564-566
    PubMedGoogle Scholar
  • 2 Hardisty C A, Naik D R, Munro D S. Pericardial effusion in hypothyroidism.  Clin Endocrinol (Oxf). 1980;  13 (4) 349-354
    CrossrefPubMedGoogle Scholar
  • 3 Kabadi U M, Kumar S P. Pericardial effusion in primary hypothyroidism.  Am Heart J. 1990;  120 (6 Pt 1) 1393-1395
    CrossrefPubMedGoogle Scholar
  • 4 Manolis A S, Varriale P, Ostrowski R M. Hypothyroid cardiac tamponade.  Arch Intern Med. 1987;  147 (6) 1167-1169
    CrossrefPubMedGoogle Scholar
  • 5 Basaria S, Cooper D S. Amiodarone and the thyroid.  Am J Med. 2005;  118 (7) 706-714
    CrossrefPubMedGoogle Scholar
  • 6 Stelfox H T, Ahmed S B, Fiskio J, Bates D W. Monitoring amiodarone's toxicities: recommendations, evidence, and clinical practice.  Clin Pharmacol Ther. 2004;  75 (1) 110-122
    CrossrefPubMedGoogle Scholar
  • 7 Batcher E L, Tang X C, Singh B N, Singh S N, Reda D J, Hershman J M. SAFE-T Investigators . Thyroid function abnormalities during amiodarone therapy for persistent atrial fibrillation.  Am J Med. 2007;  120 (10) 880-885
    CrossrefPubMedGoogle Scholar
  • 8 Batcher E L, Tang X C, Singh B N, Singh S N, Reda D J, Hershman J M. SAFE-T Investigators . Thyroid function abnormalities during amiodarone therapy for persistent atrial fibrillation.  Am J Med. 2007;  120 (10) 880-885
    CrossrefPubMedGoogle Scholar

Ramdas G. PaiM.D. 

Professor of Medicine, Division of Cardiology, Loma Linda University Medical Center

Loma Linda, CA 92354

Email: Rpai@llu.edu

      >