Author/Authors :
Frogoudaki، Alexandra نويسنده Second Department of Cardiology, Attikon University
Hospital, University of Athens, Athens, Greece , , S. Triantafyllis، Andreas نويسنده Second Department of Cardiology, Attikon University
Hospital, University of Athens, Athens, Greece , , Vassilatou، Evangeline نويسنده Second Department of Internal Medicine-Endocrine Unit,
Attikon University Hospital, University of Athens, Athens,
Greece , , Tsamakis، Charalampos نويسنده Department of Dermatology, Attikon University Hospital,
University of Athens, Athens, Greece , , Zacharoulis، Achilles نويسنده Second Department of Cardiology, Attikon University
Hospital, University of Athens, Athens, Greece , , Lekakis، John نويسنده Second Department of Cardiology, Attikon University
Hospital, University of Athens, Athens, Greece ,
Abstract :
Pulmonary hypertension is common among patients with hyperthyroidism, and Graves’ disease constitutes the most common cause of thyrotoxicosis. We report the case of a female patient admitted to the cardiology department with shortness of breath and pretibial myxedema. The diagnostic work-up revealed combined pre- and post-capillary pulmonary hypertension due to Graves’ disease superimposed on left ventricular diastolic dysfunction. Restoration of thyroid function led to normalization of the pulmonary pressure and symptom resolution. Thyroid disease is a cause of reversible pulmonary hypertension and thus should be appropriately considered in the diagnostic algorithm in patients with dyspnea, clinical signs of hyperthyroidism and elevated pulmonary pressure.
