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Heart Failure as the First Clinical Manifestation of Basedow’s Disease Cover

Heart Failure as the First Clinical Manifestation of Basedow’s Disease

Open Access
|Jun 2024

Abstract

Introduction

Thyroid hormones influence multiple systems, but most often the impact on the cardiovascular system is what brings the patient to the emergency department. Basedow’s disease, an autoimmune condition, is one of the most common causes of hyperthyroidism. The purpose of this presentation is to raise attention to an extracardiac cause that can lead to cardiac failure.

Case presentation

A 55-year-old woman presented to our cardiology service with rapid palpitations, shortness of breath on small efforts, and extreme fatigue. The electrocardiogram revealed sinus tachycardia with a heart rate of 144 beats per min. Paraclinical investigations and a multidisciplinary team consultation led to a diagnosis of thyrotoxicosis due to Basedow’s disease. Following the initiation of cardiological and endocrinological treatments, the patient’s condition improved.

Conclusion

Although hyperthyroidism is an extracardiac cause, it brought the patient to the cardiology emergency service for heart failure symptoms. The key to achieving a correct diagnosis and determining an optimal treatment lies in the multidisciplinary approach of pathology.

DOI: https://doi.org/10.2478/jce-2024-0012 | Journal eISSN: 2457-5518 | Journal ISSN: 2457-550X
Language: English
Page range: 78 - 82
Submitted on: May 8, 2024
Accepted on: Jun 17, 2024
Published on: Jun 27, 2024
Published by: Asociatia Transilvana de Terapie Transvasculara si Transplant KARDIOMED
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Paul Proboteanu, Bogdan Caloian, Dana Pop, published by Asociatia Transilvana de Terapie Transvasculara si Transplant KARDIOMED
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.