“All that Glitters like Gold is Not Good.” Pericardial Effusion with Cardiac Tamponade in Hypothyroidism

Among various cardiac manifestations of hypothyroidism, pericardial effusion is not an uncommon finding. But effusion leading to Tamponade is a rare complication owing to its slow collection due to increased capillary permeability. Most of the times patient can be managed conservatively but in case of hemodynamic compromise tapping of fluid will give immediate relief of symptoms. To discuss various pathophysiological issues and management options of pericardial effusion with Tamponade in hypothyroidism. Six cases of hypothyroidism with pericardial effusion and Tamponade were studied. Their demographic features and treatment issues were assessed. Five out of six cases underwent pericardiocentesis. One case was manged conservatively. All the cases were stable on follow up. Prompt diagnosis with early pericardiocentesis with thyroid supplementation will have better prognosis.