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Kardiologiia

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Chronic right ventricular failure in a patient with diffuse toxic goiter and alcoholic cirrhosis of the liver: case description

https://doi.org/10.18087/cardio.2650

Abstract

We present a case of a patient with pronounced edematous‑ascitic syndrome. Initially, its causes were considered to be alcoholic cardiomyopathy (right ventricular failure) with heart rhythm disturbances and liver cirrhosis. Targeted treatment had a low clinical effect, which served as a basis for revising the diagnostic concept. Subsequent follow‑up revealed a diffuse toxic goiter with the predominant right ventricular lesion. Achieving euthyroidism has led to a significant improvement in the patient's condition.

About the Authors

M. R. Shirtladze
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Trubetskaya 8, Bldg. 2, Moscow 119991


A. A. Timofeeva
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Trubetskaya 8, Bldg. 2, Moscow 119991


Y. O. Shul'pekova
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Trubetskaya 8, Bldg. 2, Moscow 119991


V. M. Nechaev
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Trubetskaya 8, Bldg. 2, Moscow 119991


S. A. Baranov
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Trubetskaya 8, Bldg. 2, Moscow 119991


I. V. Supryaga
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Trubetskaya 8, Bldg. 2, Moscow 119991


References

1. Hwang SH, Hong KH, Noh HM, Park CY, Kim JB, Hong MJ et al. Improvement of Severe Tricuspid Regurgitation with Right Heart Failure Associated with Tyrotoxicosis due to Graves’ Disease. Journal of Cardiovascular Ultrasound. 2009;17(1):22–4. DOI: 10.4250/jcu.2009.17.1.22

2. Knyazkova I.I., Belovol A.N. Thyroid dysfunction and heart failure. Heart failure. 2016;1:47–60. [Russian: Князькова И.И., Беловол А.Н. Дисфункция щитовидной железы и сердечная недостаточность. Сердцева недостатнiсть. 2016;1:47-60. Доступно на: http://health-ua.com/article/4874-disfunktci-ya-shitovidnoj-zhelezy-i-serdechnaya-nedostatochnost]

3. Mcdonough RJ, Moul MS, Beckman D, Slim AM. Isolated Right Ventricular Failure in Hyperthyroidism: A Clinical Dilemma. Heart International. 2011;6(2):e11. DOI: 10.4081/hi.2011.e11

4. Ismail HM. Reversible Pulmonary Hypertension and Isolated Right-sided Heart Failure Associated with Hyperthyroidism. Journal of General Internal Medicine. 2007;22(1):148–50. DOI: 10.1007/s11606-006-0032-0


Review

For citations:


Shirtladze M.R., Timofeeva A.A., Shul'pekova Y.O., Nechaev V.M., Baranov S.A., Supryaga I.V. Chronic right ventricular failure in a patient with diffuse toxic goiter and alcoholic cirrhosis of the liver: case description. Kardiologiia. 2019;59(6S):61-64. (In Russ.) https://doi.org/10.18087/cardio.2650

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ISSN 0022-9040 (Print)
ISSN 2412-5660 (Online)