Korean Circ J.  2012 Jun;42(6):419-422. 10.4070/kcj.2012.42.6.419.

Acute Recurrent Pericarditis Accompanied by Graves' Disease

Affiliations
  • 1Department of Internal Medicine, Cardiovascular Imaging Center, Samsung Medical Center, Seoul, Korea.
  • 2Division of Cardiology, Department of Medicine, Cardiovascular Imaging Center, Samsung Medical Center, Seoul, Korea. chrislee.echo@gmail.com
  • 3Department of Radiology and Center for Imaging Science, Cardiovascular Imaging Center, Samsung Medical Center, Seoul, Korea.

Abstract

The etiology of acute pericarditis is often thought to be autoimmune, and Graves' disease has been reported in a few series to manifest as acute pericarditis. Since the etiology of recurrent pericarditis is known to be more associated with autoimmune causes, recurrent acute pericarditis may be a potential cardiovascular complication of Graves' disease. We report a case of recurrent acute pericarditis that was presumed to be associated with Graves' disease which was controlled after management of the problem of the thyroid.

Keyword

Pericarditis; Graves disease

MeSH Terms

Graves Disease
Pericarditis
Thyroid Gland

Figure

  • Fig. 1 Twelve-lead electrocardiograms (ECG) in patient presenting with acute recurrent pericarditis. A: ECG at the 1st admission showed diffuse ST-segment elevation. B: ECG at the 2nd admission also showed diffuse ST-segment elevation except aVR and V1.

  • Fig. 2 Initial two-dimensional transthoracic echocardiogram in the parasternal view showed a small pericardial effusion (arrow).

  • Fig. 3 Whole heart coronary magnetic resonance angiographic imaging demonstrates a slightly thickened pericardium (arrowheads) and minimal amount pericardial effusion (arrow).

  • Fig. 4 Electrocardiogram at 3 months of follow up showed normalization of ST-segment elevation.


Reference

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