Secondary Pulmonary Hypertension and Right-Sided Heart Failure at Presentation in Grave’s Disease
A young female presented with evidence of right-sided heart failure and was subsequently found to have significant pulmonary artery hypertension (PAH). Because of her normal left ventricular function and pulmonary capillary wedge pressure, the most probable site of etiology seemed to be the pulmona...
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Format: | Article |
Language: | English |
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Wiley
2012-01-01
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Series: | Case Reports in Endocrinology |
Online Access: | http://dx.doi.org/10.1155/2012/762023 |
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author | Swapnil Panjabrao Ganeshpure Gaurang Nandkishor Vaidya Vipul Gattani |
author_facet | Swapnil Panjabrao Ganeshpure Gaurang Nandkishor Vaidya Vipul Gattani |
author_sort | Swapnil Panjabrao Ganeshpure |
collection | DOAJ |
description | A young female presented with evidence of right-sided heart failure and was subsequently found to have significant pulmonary artery hypertension (PAH). Because of her normal left ventricular function and pulmonary capillary wedge pressure, the most probable site of etiology seemed to be the pulmonary vasculature. All the common possible secondary causes of PAH were ruled out, but during the investigations, she was found to have elevated thyroid function tests compatible with the diagnosis of Grave’s disease. The treatment of Grave’s disease, initially by medications and subsequently by radioiodine therapy, was associated with a significant reduction in the pulmonary artery systolic pressure. The purpose of this case report is to highlight one of the unusual and underdiagnosed presentations of Grave’s disease. |
format | Article |
id | doaj-art-1a928d231ef34fee8c839e07b78e2ffc |
institution | Kabale University |
issn | 2090-6501 2090-651X |
language | English |
publishDate | 2012-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Endocrinology |
spelling | doaj-art-1a928d231ef34fee8c839e07b78e2ffc2025-02-03T01:11:50ZengWileyCase Reports in Endocrinology2090-65012090-651X2012-01-01201210.1155/2012/762023762023Secondary Pulmonary Hypertension and Right-Sided Heart Failure at Presentation in Grave’s DiseaseSwapnil Panjabrao Ganeshpure0Gaurang Nandkishor Vaidya1Vipul Gattani2Department of Medicine, Grant Medical College and Sir J.J. Group of Hospitals, Mumbai 400008, IndiaDepartment of Medicine, Grant Medical College and Sir J.J. Group of Hospitals, Mumbai 400008, IndiaDepartment of Medicine, Grant Medical College and Sir J.J. Group of Hospitals, Mumbai 400008, IndiaA young female presented with evidence of right-sided heart failure and was subsequently found to have significant pulmonary artery hypertension (PAH). Because of her normal left ventricular function and pulmonary capillary wedge pressure, the most probable site of etiology seemed to be the pulmonary vasculature. All the common possible secondary causes of PAH were ruled out, but during the investigations, she was found to have elevated thyroid function tests compatible with the diagnosis of Grave’s disease. The treatment of Grave’s disease, initially by medications and subsequently by radioiodine therapy, was associated with a significant reduction in the pulmonary artery systolic pressure. The purpose of this case report is to highlight one of the unusual and underdiagnosed presentations of Grave’s disease.http://dx.doi.org/10.1155/2012/762023 |
spellingShingle | Swapnil Panjabrao Ganeshpure Gaurang Nandkishor Vaidya Vipul Gattani Secondary Pulmonary Hypertension and Right-Sided Heart Failure at Presentation in Grave’s Disease Case Reports in Endocrinology |
title | Secondary Pulmonary Hypertension and Right-Sided Heart Failure at Presentation in Grave’s Disease |
title_full | Secondary Pulmonary Hypertension and Right-Sided Heart Failure at Presentation in Grave’s Disease |
title_fullStr | Secondary Pulmonary Hypertension and Right-Sided Heart Failure at Presentation in Grave’s Disease |
title_full_unstemmed | Secondary Pulmonary Hypertension and Right-Sided Heart Failure at Presentation in Grave’s Disease |
title_short | Secondary Pulmonary Hypertension and Right-Sided Heart Failure at Presentation in Grave’s Disease |
title_sort | secondary pulmonary hypertension and right sided heart failure at presentation in grave s disease |
url | http://dx.doi.org/10.1155/2012/762023 |
work_keys_str_mv | AT swapnilpanjabraoganeshpure secondarypulmonaryhypertensionandrightsidedheartfailureatpresentationingravesdisease AT gaurangnandkishorvaidya secondarypulmonaryhypertensionandrightsidedheartfailureatpresentationingravesdisease AT vipulgattani secondarypulmonaryhypertensionandrightsidedheartfailureatpresentationingravesdisease |