Thyroid Storm in the Heart: Graves’ Disease Masquerading as Dilated Cardiomyopathy in an Elderly Male
Graves’ disease commonly presents with thyroid and extrathyroid manifestations. Cardiovascular manifestations are present in 6% of patients. Only 1% of patients has dilated cardiomyopathy and acute heart failure, which is an unusual presentation of Graves’ disease. An elderly male patient presented...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Journal of the Practice of Cardiovascular Sciences |
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| Online Access: | https://journals.lww.com/10.4103/jpcs.jpcs_85_23 |
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| author | Susheel K. Malani Chigullapalli Sridevi Ajitkumar Krishna Jadhav Digvijay D Nalawade |
| author_facet | Susheel K. Malani Chigullapalli Sridevi Ajitkumar Krishna Jadhav Digvijay D Nalawade |
| author_sort | Susheel K. Malani |
| collection | DOAJ |
| description | Graves’ disease commonly presents with thyroid and extrathyroid manifestations. Cardiovascular manifestations are present in 6% of patients. Only 1% of patients has dilated cardiomyopathy and acute heart failure, which is an unusual presentation of Graves’ disease. An elderly male patient presented with acute heart failure, atrial fibrillation, renal impairment, and secondary to hypotension, diagnosed with dilated cardiomyopathy and significant left ventricular (LV) dysfunction. His test results revealed an increase in T3 and T4 levels with a low thyroid-stimulating hormone (TSH), as well as positive antithyroid antibodies and TSH receptor antibodies, confirming Graves’ disease. The patient improved symptomatically with antiheart failure treatment and antithyroid drugs. On follow-up, his LV dysfunction completely recovered. This instance emphasizes the need of screening heart failure patients to identify reversible causes of heart failure and provide suitable treatment. |
| format | Article |
| id | doaj-art-5adb2a73ccc54f0aaa91591f0bc63021 |
| institution | Kabale University |
| issn | 2395-5414 2454-2830 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of the Practice of Cardiovascular Sciences |
| spelling | doaj-art-5adb2a73ccc54f0aaa91591f0bc630212025-01-14T05:56:23ZengWolters Kluwer Medknow PublicationsJournal of the Practice of Cardiovascular Sciences2395-54142454-28302024-12-0110319319610.4103/jpcs.jpcs_85_23Thyroid Storm in the Heart: Graves’ Disease Masquerading as Dilated Cardiomyopathy in an Elderly MaleSusheel K. MalaniChigullapalli SrideviAjitkumar Krishna JadhavDigvijay D NalawadeGraves’ disease commonly presents with thyroid and extrathyroid manifestations. Cardiovascular manifestations are present in 6% of patients. Only 1% of patients has dilated cardiomyopathy and acute heart failure, which is an unusual presentation of Graves’ disease. An elderly male patient presented with acute heart failure, atrial fibrillation, renal impairment, and secondary to hypotension, diagnosed with dilated cardiomyopathy and significant left ventricular (LV) dysfunction. His test results revealed an increase in T3 and T4 levels with a low thyroid-stimulating hormone (TSH), as well as positive antithyroid antibodies and TSH receptor antibodies, confirming Graves’ disease. The patient improved symptomatically with antiheart failure treatment and antithyroid drugs. On follow-up, his LV dysfunction completely recovered. This instance emphasizes the need of screening heart failure patients to identify reversible causes of heart failure and provide suitable treatment.https://journals.lww.com/10.4103/jpcs.jpcs_85_23acute heart failuredilated cardiomyopathygraves’ disease |
| spellingShingle | Susheel K. Malani Chigullapalli Sridevi Ajitkumar Krishna Jadhav Digvijay D Nalawade Thyroid Storm in the Heart: Graves’ Disease Masquerading as Dilated Cardiomyopathy in an Elderly Male Journal of the Practice of Cardiovascular Sciences acute heart failure dilated cardiomyopathy graves’ disease |
| title | Thyroid Storm in the Heart: Graves’ Disease Masquerading as Dilated Cardiomyopathy in an Elderly Male |
| title_full | Thyroid Storm in the Heart: Graves’ Disease Masquerading as Dilated Cardiomyopathy in an Elderly Male |
| title_fullStr | Thyroid Storm in the Heart: Graves’ Disease Masquerading as Dilated Cardiomyopathy in an Elderly Male |
| title_full_unstemmed | Thyroid Storm in the Heart: Graves’ Disease Masquerading as Dilated Cardiomyopathy in an Elderly Male |
| title_short | Thyroid Storm in the Heart: Graves’ Disease Masquerading as Dilated Cardiomyopathy in an Elderly Male |
| title_sort | thyroid storm in the heart graves disease masquerading as dilated cardiomyopathy in an elderly male |
| topic | acute heart failure dilated cardiomyopathy graves’ disease |
| url | https://journals.lww.com/10.4103/jpcs.jpcs_85_23 |
| work_keys_str_mv | AT susheelkmalani thyroidstormintheheartgravesdiseasemasqueradingasdilatedcardiomyopathyinanelderlymale AT chigullapallisridevi thyroidstormintheheartgravesdiseasemasqueradingasdilatedcardiomyopathyinanelderlymale AT ajitkumarkrishnajadhav thyroidstormintheheartgravesdiseasemasqueradingasdilatedcardiomyopathyinanelderlymale AT digvijaydnalawade thyroidstormintheheartgravesdiseasemasqueradingasdilatedcardiomyopathyinanelderlymale |