Verma V, Menon AS, Bahadur A, Sikarwar A. Clinical manifestation and images of a patient having cardiovascular involvement in myxoedema coma.
Med J Armed Forces India 2021;
77:92-95. [PMID:
33487873 DOI:
10.1016/j.mjafi.2018.12.001]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2018] [Accepted: 12/03/2018] [Indexed: 11/17/2022] Open
Abstract
Myxoedema coma is an endocrine emergency characterised by diminished sensorium associated with features of severe hypothyroidism. The disease carries a high mortality of 30%-60 %. The cardiac manifestation of the disease consists of bradycardia, hypotension, pericardial effusion and certain echocardiographic changes such as heart block and features of hypothermia. Here, we report a case of myxoedema coma with characteristic cardiac manifestations. These manifestations revert promptly on starting treatment, and achieving a eumetabolic status as was demonstrated in this patient.
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