scholarly journals Generalized edema and heart failure caused from hypothyroidism and ferrous agent for hypochromic anemia

2021 ◽  
Vol 9 (2) ◽  
pp. 38-42
Author(s):  
Hiroshi Bando ◽  
Naoki Kondo ◽  
Shigeki Hatakeyama ◽  
Junji Morita ◽  
Kazuki Sakamoto ◽  
...  
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Case Report ◽  
Pleural Effusion ◽  
Hypochromic Anemia ◽  
Occult Blood ◽  
Early Improvement ◽  
Ferrous Citrate ◽  
Blood Tests ◽  
The Relationship

The patient was an 85-year-old female who has been treated for hypertension and atrial fibrillation (Af). She has visited outpatient clinic and has received regularly general blood tests for every six months. Hemoglobin (Hb) level was stable as 11.2-12.3 g/dL and MCV 88fL from 2017, but it decreased suddenly to 5.2 g/dL and 64 fL in Sept 2020. She did not feel any symptoms or signs. Further evaluations revealed that occult blood in stool and upper and endoscopic exams were negative. About 40 days after starting sodium ferrous citrate, she developed edema anasarca, bilateral pleural effusion and heart failure. Laboratory test showed hypothyroidism, and then the administration of thyroid hormone and diuretics brought her early improvement. As to this impressive case report, general clinical progress and some discussion of the relationship among anemia, edema anasarca, heart failure and hypothyroidism would be described.

scholarly journals Heart failure in real world

2015 ◽  
Vol 9 (4) ◽  
pp. 356
Author(s):  
Claudio Giumelli ◽  
Azio Reverzani ◽  
Riccardo Volpi ◽  
Giuseppe Chesi
Keyword(s):  
Public Health ◽  
Heart Failure ◽  
Atrial Fibrillation ◽  
Heart Disease ◽  
Pleural Effusion ◽  
Total Population ◽  
Systolic Function ◽  
Heart Diseases ◽  
Hypertensive Heart Disease ◽  
The Mean

The heart failure (HF) is one of the greatest problems of public health with increasing epidemiological importance. In the present study we analyzed a population of 299 patients, consecutively admitted to hospital, whose diagnosis of HF was verified retrospectively. In our analysis we considered underlying heart diseases, comorbidities, ejection fraction, presence of atrial fibrillation and pleural effusion, values of NT pro-BNP and causes of destabilization precipitating HF. The mean age of our population was 81 years. Patients with preserved systolic function were 145 (61% of the total, 59 male and 86 female). 166 patients (69% of the total) had hypertensive heart disease and 211 had hypertension (88% of the total). Patients with pleural effusion were 108 (46% of total). In the total population 102 patients (43%) had from 3 to 5 comorbidities, 169 patients (71%) had at least 2 comorbidities and only 4 patients (1.7%) had no comorbidities. The collected data highlight the complexity of patients with HF, often due to advanced age and a high number of comorbidities.

scholarly journals Increased left atrial pressure in non-heart failure patients with subclinical hypothyroidism and atrial fibrillation

2016 ◽  
Vol 5 (3) ◽  
pp. 101-106 ◽  
Author(s):  
Akinori Sairaku ◽  
Yukiko Nakano ◽  
Yuko Uchimura ◽  
Takehito Tokuyama ◽  
Hiroshi Kawazoe ◽  
...  
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Subclinical Hypothyroidism ◽  
Left Atrial ◽  
Structural Heart Disease ◽  
Thyroid Stimulating Hormone ◽  
The Mean ◽  
V Wave ◽  
The Impact ◽  
The Relationship

Background The impact of subclinical hypothyroidism on the cardiovascular risk is still debated. We aimed to measure the relationship between subclinical hypothyroidism and the left atrial (LA) pressure. Methods The LA pressures and thyroid function were measured in consecutive patients undergoing atrial fibrillation (AF) ablation, who did not have any known heart failure, structural heart disease, or overt thyroid disease. Results Subclinical hypothyroidism (4.5≤ thyroid-stimulating hormone <19.9 mIU/L) was present in 61 (13.0%) of the 471 patients included. More subclinical hypothyroidism patients than euthyroid patients (55.7% vs 40.2%; P=0.04).’euthyroid patients had persistent or long-standing persistent AF (55.7% vs 40.2%; P = 0.04). The mean LA pressure (10.9 ± 4.7 vs 9.1 ± 4.3 mmHg; P = 0.002) and LA V-wave pressure (17.4 ± 6.5 vs 14.3 ± 5.9 mmHg; P < 0.001) were, respectively, higher in the patients with subclinical hypothyroidism than in the euthyroid patients. After an adjustment for potential confounders, the LA pressures remained significantly higher in the subclinical hypothyroidism patients. A multiple logistic regression model showed that subclinical hypothyroidism was independently associated with a mean LA pressure of >18 mmHg (odds ratio 3.94, 95% CI 1.28 11.2; P = 0.02). Conclusions Subclinical hypothyroidism may increase the LA pressure in AF patients.

scholarly journals Giant Intrapericardial Bronchogenic Cyst Associated with Congestive Heart Failure and Atrial Fibrillation:  A Case Report

2020 ◽  
Author(s):  
Javier Maldonado ◽  
German Molina ◽  
Francisco M- Rincón T ◽  
Lina M. Acosta Buitrago ◽  
Carlos J- Perez Rivera
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Congestive Heart Failure ◽  
Differential Diagnosis ◽  
Case Report ◽  
Bronchogenic Cyst ◽  
De Novo ◽  
Pathological Findings ◽  
Case Presentation ◽  
Bronchogenic Cysts

Abstract Background: Large intracardiac bronchogenic cysts are rare mediastinal masses, however they must always be considered in the differential diagnosis of heart failure. Case Presentation: We present a 60-year-old female patient with de novo atrial fibrillation and heart failure, resulting from an incidental large intrapericardial mass. The patient underwent successful surgical resection, with pathological findings confirming a bronchogenic cyst.Conclusions: Large bronchogenic cysts located intrapericardially are very rare, however they should be included in the differential diagnosis of patients presenting with atrial fibrillation and heart failure.

scholarly journals Association of vitamin D and cardiovascular health

2018 ◽  
Vol 15 (1) ◽  
pp. 17-21
Author(s):  
Hridaya Bibhu Ghimire ◽  
Chandra Mani Adhikari
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Vitamin D ◽  
Acute Coronary Syndrome ◽  
Elderly Population ◽  
Cardiovascular Health ◽  
Sun Exposure ◽  
Vitamin D Insufficiency ◽  
Coronary Syndrome ◽  
The Relationship

Vitamin D insufficiency or deficiency is highly prevalent due to limited sun exposure especially in urban and elderly population. Vitamin D is now increasingly recognized as a hormone responsible for numerous physiologic functions in different cells and tissues of the human body including heart. Vitamin D has been shown to be linked with hypertension, acute coronary syndrome, heart failure, and atrial fibrillation. This review briefly overviews the relationship between vitamin D deficiency, its supplementation and outcome in cardiovascular health.Nepalese Heart Journal 2018; 15(1): 17-21.

scholarly journals Primary Pericardial Mesothelioma, Which Was Veiled by a Pleural Empyema: A Case Report and Review

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Morad Tajjiou ◽  
Wolfgang Wild ◽  
Nasir Sayed ◽  
Alexander Flauaus ◽  
Markus Divo ◽  
...  
Keyword(s):  
Heart Failure ◽  
Case Report ◽  
Pleural Effusion ◽  
Pericardial Effusion ◽  
Cardiac Function ◽  
Imaging Techniques ◽  
Pleural Empyema ◽  
Lower Leg ◽  
Diagnostic Significance ◽  
Pericardial Mesothelioma

This case report shows that pleural empyema limits the diagnostic significance of imaging techniques. Hereafter, we present the case of an 82-year-old patient with primary pericardial mesothelioma, which was veiled by a pleural empyema. The patient met the typical triad of signs of heart failure (dyspnea, lower leg oedema), pericardial effusion, and pericarditis. Echocardiography in the identification of pericardial mesotheliomas is low. In this case, the cardiac function could be imaged well, but the tumor could not be imaged. The CT showed a pericardial effusion and a pleural effusion. Here, the tumor could not be diagnosed either. Only the operation led to diagnosis.

scholarly journals Heart failure presented with massive pleural effusion and mediastinal lymphadenopathy: a rare case report

2014 ◽  
Vol 24 (2) ◽  
pp. 86-88
Author(s):  
Mohammad Shahidul Islam ◽  
Humayara Tabassum ◽  
Sharah Jahan ◽  
Mohammad Shahin Masud ◽  
Muhammad Al Amin ◽  
...  
Keyword(s):  
Heart Failure ◽  
Case Report ◽  
Pleural Effusion ◽  
Ct Scan ◽  
Rare Case ◽  
Unusual Case ◽  
Mediastinal Lymphadenopathy ◽  
Common Cause ◽  
Massive Pleural Effusion ◽  
Rare Case Report

Heart failure may present with diverse manifestation. It is far most common cause of bilateral transudative pleural effusion. In very unusual case, it may present with only massive transudative pleural effusion without cardiomegaly and other features of heart failure such as leg odema, tender hepatomegaly or congested liver. We presented a case that present with massive transudative pleural effusion with mediastinal lymphadenopathy evidenced by CT scan of chest and treated successfully with diuretics. DOI: http://dx.doi.org/10.3329/bjmed.v24i2.20223 Bangladesh J Medicine 2013; 24 : 86-88

scholarly journals A Case of Exacerbation of Subclinical Hyperthyroidism after First Administration of BNT162b2 mRNA COVID-19 Vaccine

Vaccines ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1108
Author(s):  
Kana Yamamoto ◽  
Takahisa Mashiba ◽  
Keisuke Takano ◽  
Toshihiko Suzuki ◽  
Masahiro Kami ◽  
...  
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Case Report ◽  
Subclinical Hyperthyroidism ◽  
Critical Measure

COVID-19 vaccines are the most critical measure for controlling the COVID-19 pandemic; however, we have little information on their complications. We experienced a case of a patient who developed hyperthyroidism complicated with atrial fibrillation and heart failure on the sixth day after the first dose of COVID-19 vaccination. This case report shows the importance of considering hyperthyroidism as a possible complication after COVID-19 vaccination.

scholarly journals The Relationship of Dehydration and Body Mass Index With the Occurrence of Atrial Fibrillation in Heart Failure Patients

2021 ◽  
Vol 8 ◽  
Author(s):  
Anna Chuda ◽  
Marcin Kaszkowiak ◽  
Maciej Banach ◽  
Marek Maciejewski ◽  
Agata Bielecka-Dabrowa
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Body Mass Index ◽  
Body Mass ◽  
Volume Index ◽  
Mass Analysis ◽  
Peak Vo2 ◽  
Unit Increase ◽  
Relationship Of ◽  
The Relationship

Purpose: The aim of the study was to assess the relationship of dehydration, body mass index (BMI) and other indices with the occurrence of atrial fibrillation (AF) in heart failure (HF) patients.Methods: The study included 113 patients [median age 64 years; 57.52% male] hospitalized due to HF. Baseline demographics, body mass analysis, echocardiographic results, key cardiopulmonary exercise test (CPET) parameters, 6 min walk distance (6MWD) and Kansas City Cardiomyopathy Questionnaire (KCCQ) score were assessed.Results: Of all patients, 23 (20.35%) had AF, and 90 (79.65%) had sinus rhythm (SR). Patients with AF were older (med. 66 vs. 64 years; p = 0.039), with higher BMI (32.02 vs. 28.51 kg/m2; p = 0.017) and percentage of fat content (37.0 vs. 27.9%, p = 0.014). They were more dehydrated, with a lower percentage of total body water (TBW%) (45.7 vs. 50.0%; p = 0.022). Clinically, patients with AF had more often higher New York Heart Association (NYHA) class (III vs. II; p &lt; 0.001), shorter 6MWD (median 292.35 vs. 378.4 m; p = 0.001) and a lower KCCQ overall summary score (52.60 vs. 73.96 points; p = 0.002). Patients with AF had significantly lower exercise capacity as measured by peak oxygen consumption (peak VO2) (0.92 vs. 1.26 mL/min, p = 0.016), peak VO2/kg (11 vs. 15 mL/kg/min; p &lt; 0.001), and percentage of predicted VO2max (pp-peak VO2) (62.5 vs 70.0; p=0.010). We also found VE/VCO2 (med. 33.85 vs. 32.20; p = 0.049) to be higher and peak oxygen pulse (8.5 vs. 11 mL/beat; p = 0.038) to be lower in patients with AF than in patients without AF. In a multiple logistic regression model higher BMI (OR 1.23 per unit increase, p &lt; 0.001) and higher left atrial volume index (LAVI) (OR 1.07 per unit increase, p = 0.03), lower tricuspid annular plane systolic excursion (TAPSE) (OR 0.74 per unit increase, p =0.03) and lower TBW% in body mass analysis (OR 0.90 per unit increase, p =0.03) were independently related to AF in patients with HF.Conclusion: Increased volume of left atrium and right ventricular systolic dysfunction are well-known predictors of AF occurrence in patients with HF, but hydration status and increased body mass also seem to be important factors of AF in HF patients.

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