Reversible pulmonary hypertension and isolated right-sided heart failure associated with hyperthyroidism.
Hyperthyroidism may present with signs and symptoms related to dysfunction of a variety of organs. Cardiovascular pathology in hyperthyroidism is common. A few case reports describe isolated right heart failure, tricuspid regurgitation, and pulmonary hypertension as the prominent cardiovascular manifestations of hyperthyroidism. Although most textbooks do not mention hyperthyroidism as a cause of pulmonary hypertension and isolated right heart failure, the literature suggests that some hyperthyroid patients may develop reversible pulmonary hypertension and isolated right heart failure. We report a case of hyperthyroidism presenting with signs and symptoms of isolated right heart failure, tricuspid regurgitation, and pulmonary hypertension, which resolved with treatment of hyperthyroidism.
Ismail
Hassan M
HM
Department of Internal Medicine, Divison of Cardiovascular Disease, James Quillen College of Medicine, East Tennessee State University, Johnson City, TE 37604, USA. ismail@etsu.edu
D013956:Antithyroid Agents / Q000627:therapeutic use; D005260:Female; D006111:Graves Disease / Q000175:diagnosis* / Q000188:drug therapy; D006333:Heart Failure / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000188:drug therapy / Q000209:etiology*; D008713:Methimazole / Q000627:therapeutic use; D008875:Middle Aged; D014262:Tricuspid Valve Insufficiency / Q000188:drug therapy / Q000209:etiology*; D018497:Ventricular Dysfunction, Right / Q000188:drug therapy / Q000209:etiology*
D013956:Antithyroid Agents; D008713:Methimazole