Primary hypothyroidism: uncommon presentation with reversible dilated cardiomyopathy in a young subject

Authors

Sunil Kumar Kota1,*, Prabhas Ranjan Tripathy2, Siva Krishna Kota3, Sruti Jammula4, Lalit Kumar Meher5, Kirtikumar Dharmshibhai Modi1
1Department of Endocrinology, Medwin Hospital, Hyderabad, Andhra Pradesh, India
2Department of Anatomy, Kalinga Institute of Medical Sciences, Bhubaneswar, Orissa, India
3Department of Anesthesia, Central Security Hospital, Riyadh, Saudi Arabia
4Department of Pharmaceutics, Roland Institute of Pharmaceutical sciences, Berhampur, Orissa, India
5Department of Medicine, MKCG Medical College, Berhampur, Orissa, India
*Corresponding Author: Sunil Kumar Kota, Department of Endocrinology, Medwin Hospitals, Chiragh Ali Lane, Nampally, Hyderabad-500001, Andhra Pradesh, India. Tel: +91-9959369777, Fax: +91-40 66623441, E-mail: Email: [email protected]

International Journal of Endocrinology and Metabolism:Vol. 10, issue 1; 440-443
Published online:Jan 31, 2012
Article type:Case Report
Received:Sep 25, 2011
Accepted:Dec 28, 2011
How to Cite:Kumar Kota S, Ranjan Tripathy P, Krishna Kota S, Jammula S, Kumar Meher L, et al. Primary hypothyroidism: uncommon presentation with reversible dilated cardiomyopathy in a young subject. Int J Endocrinol Metab. 2012;10(1):. doi: https://doi.org/10.5812/ijem.2382

Abstract

 

Most patients with dilated cardiomyopathy have a poor prognosis that is associated with progressive and irreversible myocardial dysfunction. Rarely, a reversible metabolic etiology that is amenable to specific therapy is identified. Thyroid hormones have many effects on the heart. Although cardiac output is reduced in hypothyroidism, heart failure is relatively rare due to the lower demand for peripheral oxygen delivery. We report a 14-year-old girl who presented with dilated cardiomyopathy (DCM) and was determined to have primary hypothyroidism, for whom cardiac function improved significantly after levothyroxine replacement therapy. Our case underscores the necessity of thyroid function testing to examine the etiology of nonischemic DCM, even in young subjects.

Please cite this paper as:
Kumar Kota S, Tripathy PR, Krishna Kota S, Jammula S, Kumar Meher L, Modi KD, Primary Hypothyroidism: Uncommon Presentation With Reversible Dilated Cardiomyopathy in a Young Subject. Int J Endocrinol Metab. 2012;10(1): 440-3. DOI: 10.5812/ijem.2382

                                                                      Copyright © 2012 Kowsar M. P. Co. All rights reserved.

 

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© 2012, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.

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