Kim Munk

Heart failure after aortic valve substitution due to severe hypothyroidism

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  • The Department of Cardiological Medicine B
  • The Department of Endocrinology and Diabetes
We report a case of a 70-year-old female with considerable co-morbidities (Type 2 diabetes, Leiden factor V mutation, mild to moderate chronic obstructive pulmonary disease) and a recent biological aortic valve substitution, who was admitted due to circulatory collapse caused by severe heart failure with an ejection fraction of 10%. The patient was treated with diuretics and inotropic drugs with only a minor effect on the condition. A thyroid status disclosed a condition of overt hypothyreosis (TSH: 70 miu/L, T4: 19 nmol/L, T3 0.8: nmol/L). Cautious treatment with peroral Levothyroxin and hydrocortisone was given as a supplement to the heart failure treatment and the condition improved gradually. Within 3 months the patient was euthyroid and had regained her habitual LV function.
Original languageEnglish
JournalInternational Journal of Cardiology
Volume127
Issue3
Pages (from-to)e164-6
ISSN0167-5273
DOIs
Publication statusPublished - 2008

    Research areas

  • Aged, Aortic Valve Stenosis, Female, Heart Failure, Heart Valve Prosthesis Implantation, Humans, Hypothyroidism, Postoperative Complications

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