{
  "abstract": "Hypothyroidism is a common endocrine disorder with potential multi-system involvement. While pericardial effusion may occur in up to 30% of patients with hypothyroidism, cardiac tamponade is rare.We present a case of a woman in her mid 60s who came with complaints of progressive dyspnoea on exertion, apathy, cold intolerance and weight gain. Clinically, she was hypotensive, tachypnoeic and hypoxic but had a normal pulse rate. Echocardiography revealed massive pericardial effusion with cardiac tamponade. She was managed with urgent pericardiocentesis and oral thyroxine replacement.Cardiac tamponade is a medical emergency that necessitates immediate intervention. Our case underscores the need to suspect hypothyroidism as the underlying cause in a patient presenting with cardiac tamponade with a normal heart rate or bradycardia.",
  "authors": [
    {
      "affiliations": [
        "Medicine, Dr D Y Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"
      ],
      "name": "Asmita Samal"
    },
    {
      "affiliations": [
        "Medicine, Dr D Y Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"
      ],
      "name": "Govind S Shiddapur"
    },
    {
      "affiliations": [
        "Medicine, Dr D Y Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"
      ],
      "name": "Akshay Anant Dhamne"
    },
    {
      "affiliations": [
        "Medicine, Dr D Y Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"
      ],
      "name": "Uttara Shankarnarayanan"
    },
    {
      "affiliations": [
        "Medicine, Dr D Y Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"
      ],
      "name": "Sonali Agarwal"
    },
    {
      "affiliations": [
        "Medicine, Dr D Y Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"
      ],
      "name": "Diksha Sabharwal"
    }
  ],
  "title": "Cardiac tamponade secondary to hypothyroidism",
  "uid": "9e970dd4-a4fb-5944-8761-81f2b7a7724b"
}