A case of congestive heart failure due to reversible dilated cardiomyopathy caused by hyperthyroidism.

Abstract:

:Thyrotoxicosis is an uncommon cause of low-output congestive heart failure. The case of a 41-year-old male who presented with severe symptomatic congestive heart failure, and was subsequently diagnosed with dilated cardiomyopathy secondary to hyperthyroidism, is presented. The cause of his hyperthyroidism was Graves disease. Despite an initial left ventricular systolic ejection fraction of 20% and evidence of global hypokinesis on echocardiography, treatment with antithyroid agents led to rapid improvement in his clinical status and normalization of his ejection fraction. The proposed mechanisms underlying the development of systolic dysfunction in thyrotoxicosis are discussed, and the literature on similar cases previously reported is reviewed.

journal_name

South Med J

journal_title

Southern medical journal

authors

Khandwala HM

doi

10.1097/01.SMJ.0000125100.10857.54

subject

Has Abstract

pub_date

2004-10-01 00:00:00

pages

1001-3

issue

10

eissn

0038-4348

issn

1541-8243

journal_volume

97

pub_type

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