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Hypothyroidism is a well-known cause of pericardial effusion. However, tamponade rarely develops owing to a slow rate of accumulation of pericardial fluid. The treatment of hypothyroidic cardiac tamponade is different from other conditions. Thyroxine supplementation is all that is necessary. Rarely, pericardiocentesis is needed in a severely symptomatic patient.<\/jats:p>","DOI":"10.1136\/bcr-12-2011-5281","type":"journal-article","created":{"date-parts":[[2013,2,6]],"date-time":"2013-02-06T00:29:37Z","timestamp":1360110577000},"page":"bcr2012005281","source":"Crossref","is-referenced-by-count":15,"title":["Cardiac tamponade as a presenting manifestation of severe hypothyroidism"],"prefix":"10.1136","volume":"2013","author":[{"given":"Ashvin","family":"Butala","sequence":"first","affiliation":[{"name":"Department of Medicine, Woodhull Medical Center, Brooklyn, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shilpa","family":"Chaudhari","sequence":"additional","affiliation":[{"name":"Department of Medicine, Woodhull Medical Center, Brooklyn, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan","family":"Sacerdote","sequence":"additional","affiliation":[{"name":"Department of Medicine, Woodhull Medical Center, Brooklyn, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,2,5]]},"reference":[{"doi-asserted-by":"publisher","key":"2025082723353567000_2013.feb05_1.bcr2012005281.1","DOI":"10.1016\/0002-8703(90)90253-T"},{"key":"2025082723353567000_2013.feb05_1.bcr2012005281.2","first-page":"1180","article-title":"Das myxodemherz (Article in German)","volume":"65","author":"Zondek","year":"1918","journal-title":"Munch Med Wschr"},{"doi-asserted-by":"publisher","key":"2025082723353567000_2013.feb05_1.bcr2012005281.3","DOI":"10.1001\/jama.1925.02660310019006"},{"doi-asserted-by":"publisher","key":"2025082723353567000_2013.feb05_1.bcr2012005281.4","DOI":"10.1097\/00000441-197611000-00013"},{"key":"2025082723353567000_2013.feb05_1.bcr2012005281.5","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1111\/j.1365-2265.1980.tb03395.x","article-title":"Pericradial effusion in hypothyroidism","volume":"13","author":"Hardisty","year":"1980","journal-title":"Clin Endocrinol (Oxf)"},{"doi-asserted-by":"publisher","key":"2025082723353567000_2013.feb05_1.bcr2012005281.6","DOI":"10.1161\/01.CIR.64.3.633"},{"key":"2025082723353567000_2013.feb05_1.bcr2012005281.7","first-page":"188","article-title":"Myxedema and pericardial effusion with cardiac tamponade (a case report)","volume":"29","author":"Retnam","year":"1983","journal-title":"J Postgrad Med"},{"doi-asserted-by":"publisher","key":"2025082723353567000_2013.feb05_1.bcr2012005281.8","DOI":"10.1007\/BF01694781"},{"doi-asserted-by":"publisher","key":"2025082723353567000_2013.feb05_1.bcr2012005281.9","DOI":"10.1111\/j.1445-5994.2000.tb04374.x"},{"doi-asserted-by":"publisher","key":"2025082723353567000_2013.feb05_1.bcr2012005281.10","DOI":"10.1590\/S0066-782X2002000600005"},{"key":"2025082723353567000_2013.feb05_1.bcr2012005281.11","doi-asserted-by":"crossref","first-page":"265","DOI":"10.4158\/EP.11.4.265","article-title":"Impending cardiac tamponade as a primary presentation of hypothyroidism: case report and review of literature","volume":"11","author":"Karu","year":"2005","journal-title":"Endocr Pract"},{"doi-asserted-by":"publisher","key":"2025082723353567000_2013.feb05_1.bcr2012005281.12","DOI":"10.1097\/MAJ.0b013e3181e664c6"},{"key":"2025082723353567000_2013.feb05_1.bcr2012005281.13","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1161\/01.CIR.52.5.823","article-title":"Echocardiographic evaluation of pericardial effusion in myxedema; incidence and biochemical and clinical correlations","volume":"52","author":"Kerber","year":"1975","journal-title":"Circulation"},{"doi-asserted-by":"publisher","key":"2025082723353567000_2013.feb05_1.bcr2012005281.14","DOI":"10.1097\/00000441-197501000-00012"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-12-2011-5281","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:35:46Z","timestamp":1756362946000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-12-2011-5281"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,2,5]]},"references-count":14,"alternative-id":["10.1136\/bcr-12-2011-5281"],"URL":"https:\/\/doi.org\/10.1136\/bcr-12-2011-5281","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,2,5]]}}}