title: Graves' disease--familiar foe, unfamiliar face.
abstract: A 38-year-old man from a remote tribal area of South India presented with right heart failure. On evaluation, he was found to have untreated Graves' disease (GD) with atrial fibrillation and pulmonary hypertension. The left ventricular function was normal. Secondary causes for pulmonary hypertension were ruled out. He was treated with carbimazole and low-dose propranolol. Post 4 months medical therapy, his pulmonary hypertension completely reversed, thus establishing GD as a reversible cause of pulmonary hypertension and isolated right heart failure.
authors.affiliation: Department of Endocrinology, Jawaharlal Institute of Post Graduate Medical Education & Research, Puducherry, India. sadishkk@gmail.com
authors.forename: Sadishkumar
authors.initials: S
authors.lastname: Kamalanathan
authors.forename: Karthik
authors.initials: K
authors.lastname: Balachandran
authors.forename: Gobu
authors.initials: G
authors.lastname: Packirisamy
authors.forename: Abdoul
authors.initials: A
authors.lastname: Hamide
mesh_terms: D000328:Adult; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D000959:Antihypertensive Agents / Q000627:therapeutic use; D013956:Antithyroid Agents / Q000627:therapeutic use*; D001281:Atrial Fibrillation / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D002231:Carbimazole / Q000627:therapeutic use*; D006111:Graves Disease / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D006333:Heart Failure / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D007194:India; D008297:Male; D011433:Propranolol / Q000627:therapeutic use*; D016896:Treatment Outcome
chemical_list: D000889:Anti-Arrhythmia Agents; D000959:Antihypertensive Agents; D013956:Antithyroid Agents; D002231:Carbimazole; D011433:Propranolol