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Wednesday October 17, 2018.
Q: Pericarditis in hypothyroidism fails to produce diffuse ST- and T-wave elevations on EKG. What is the probable cause?
Answer: Pericarditis in hypothyroidism fails to produce diffuse ST and T-wave elevations on EKG due to low voltage. Other changes which can be noted on EKG in hypothyroidism include bradycardia, prolonged QTc, and atrioventricular blocks. #cardiology #endocrinology References: 1. Kudo Y, Yamasaki F, Doi T, et al. Clinical significance of low voltage in asymptomatic patients with pericardial effusion free of heart disease. Chest 2003; 124:2064. 2. Patil VC, Patil HV, Agrawal V, Patil S. Cardiac tamponade in a patient with primary hypothyroidism. Indian J Endocrinol Metab. 2011;15(Suppl2):S144–S146. |
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