Reversible Pulmonary Hypertension and Isolated Right-sided Heart Failure Associated with Hyperthyroidism

Isolated right-sided heart failure in a patient with hyperthyroidism.

Hyperthyroidism has many characteristic manifestations of various organ systems. Cardiovascular effects are frequent in these patients. A less known complication of hyperthyroidism is reversible right-sided heart failure and pulmonary hypertension. In the patient presented, the symptoms of atrial fibrillation and right-sided heart failure were the first manifestations of hyperthyroidism. Dopple...

Pulmonary hypertension and right heart failure.

Reversible Right-Sided Heart Failure Secondary to Carcinoid Crisis

Carcinoid crisis is an infrequent and little-described complication of neuroendocrine tumors that can be life threatening. It may develop during induction of anesthesia, intraoperatively, during tumor manipulation and arterial embolization, or even spontaneously. The massive release of neuroendocrine substances can lead to potentially fatal complications. Somatostatin analogs inhibit the releas...

[Pulmonary hypertension, heart failure and hyperthyroidism: a case report].

We present a case of acute heart failure as the first manifestation of Graves' disease. It illustrates some of its cardiovascular complications, particularly atrial fibrillation, pulmonary hypertension and heart failure. This case report highlights the importance of considering hyperthyroidism as a cause of idiopathic pulmonary hypertension, and demonstrates the potential reversibility of its c...

Isolated right-sided pulsus alternans in pulmonary arterial hypertension.

Cardiac catheterization of a 79-year-old woman with systemic sclerosis demonstrated severe pulmonary arterial hypertension: a peak systolic pulmonary pressure of 99 mmHg and a mean pulmonary artery pressure of 51 mmHg without an increase in the mean pulmonary capillary wedge pressure. Pulsus alternans was detected in the right ventricle (RV) and pulmonary artery (PA), but not in the pulmonary a...