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Dilated Cardiomyopathy Secondary to Hypothyroidism: Case Report with a Review of Literatures

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To date, it has been well documented that there is a relationship between alterations in thyroid hormones and cardiac dysfunction. We experienced a case of a 36-year-old man with dilated cardiomyopathy (DCM) accompanied by undiagnosed primaryhypothyroidism. In the current case, there was a significant improvement in the cardiac function following heart failure managementand thyroid hormone replacement. Our case highlights that clinicians should consider the possibility of hypothyroidism as a cause ofDCM.

Abstract

To date, it has been well documented that there is a relationship between alterations in thyroid hormones and cardiac dysfunction. We experienced a case of a 36-year-old man with dilated cardiomyopathy (DCM) accompanied by undiagnosed primaryhypothyroidism. In the current case, there was a significant improvement in the cardiac function following heart failure managementand thyroid hormone replacement. Our case highlights that clinicians should consider the possibility of hypothyroidism as a cause ofDCM.

참고문헌 (13)

  1. Khochtali I, "Reversible dilated cardiomyopathy caused by hypothyroidism", Int Arch Med, 4, pp.20~ (2011)
  2. 성중경, "A Case of Hypocalcemia-Induced Dilated Cardiomyopathy", Journal of Cardiovascular Ultrasound, 18(1), pp.25~27 (2010), 한국심초음파학회
  3. Klein I, "Thyroid hormone and the cardiovascular system", N Engl J Med, 344, pp.501~509 (2001)
  4. Klein I, "Thyroid disease and the heart", Circulation, 116, pp.1725~1735 (2007)
  5. Fazio S, "Effects of thyroid hormone on the cardiovascular system", Recent Prog Horm Res, 59, pp.31~50 (2004)
  6. McAllister RM, "Thyroid status and exercise tolerance. Cardiovascular and metabolic considerations", Sports Med, 20, pp.189~198 (1995)
  7. Wieshammer S, "Acute hypothyroidism slows the rate of left ventricular diastolic relaxation", Can J Physiol Pharmacol, 67, pp.1007~1010 (1989)
  8. Crowley WF Jr, "Noninvasive evaluation of cardiac function in hypothyroidism. Response to gradual thyroxine replacement", N Engl J Med, 296, pp.1~6 (1977)
  9. Kumar Kota S, "Primary hypothyroidism : uncommon presentation with reversible dilated cardiomyopathy in a young subject", Int J Endocrinol Metab, 10, pp.440~443 (2012)
  10. Kuethe F, "Apoptosis in patients with dilated cardiomyopathy and diabetes: a feature of diabetic cardiomyopathy?", Horm Metab Res, 39, pp.672~676 (2007)
  11. Ichiki T, "Thyroid hormone and atherosclerosis", Vascul Pharmacol, 52, pp.151~156 (2010)
  12. François M, "What’s new in the couple thyroid and heart in 2008?", Ann Endocrinol (Paris), 69(Suppl 1), pp.S37~S43 (2008)
  13. Staˇnescu C, "Heart failure and dilated cardiomyopathy associated with severe longstanding untreated hypothyroidism", Rom J Intern Med, 45, pp.77~83 (2007)

관련 논문AI추천

Combination therapy of liothyronine and levothyroxine for hypothyroidism-induced dilated cardiomyopathyChae Hyun Wook, Choi Youngha, Jung Se Yong, Kim Ho-Seong, Kwon Ahreum, Park Jung Min, Shin Eun Jung, Suh Junghwan대한소아내분비학회 · Annals of Pediatric Endocrinology & Metabolism2023 · 제28권 제2호A Case of Hypocalcemia-Induced Dilated Cardiomyopathy김장영, 류동욱, 성중경, 유병수, 윤영진, 이준원, 최경훈한국심초음파학회 · Journal of Cardiovascular Imaging2010 · 제18권 제1호Reversible dilated cardiomyopathy caused by idiopathic hypoparathyroidism김성은, 박대균, 오동진, 이준희, 정연주, 한규록, 홍지연대한내과학회 · The Korean Journal of Internal Medicine2013 · 제28권 제5호Improvement of Severe Tricuspid Regurgitation with Right Heart Failure Associated with Thyrotoxicosis due to Graves’ Disease김완, 김원, 김종범, 노형민, 박상현, 박정수, 박찬영, 홍경희, 홍명주, 황선호한국심초음파학회 · Journal of Cardiovascular Imaging2009 · 제17권 제1호Erratum : Combination therapy of liothyronine and levothyroxine for hypothyroidism-induced dilated cardiomyopathyChae Hyun Wook, Choi Youngha, Jung Se Yong, Kim Ho-Seong, Kwon Ahreum, Park Jung Min, Shin Eun Jung, Suh Junghwan대한소아내분비학회 · Annals of Pediatric Endocrinology & Metabolism2023 · 제28권 제2호Prognostic value of total triiodothyronine and free thyroxine levels for the heart failure in patients with acute myocardial infarctionChoong Hwan Kwak, Hyun-Woong Park, Jeong Rang Park, Jin-Sin Koh, Jin-Yong Hwang, Jong Hwa Ahn, Jong Ryeal Hahm, Kye-Hwan Kim, Min Gyu Kang, Seok-Jae Hwang, Yongwhi Park, Young-Hoon Jeong대한내과학회 · The Korean Journal of Internal Medicine2018 · 제33권 제3호

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