Volume 38, Issue 9 pp. 1673-1677
CASE REPORT

Hypothyroid cardiomyopathy: A reversible phenocopy of hypertrophic cardiomyopathy

Tomás F. Cianciulli MD, FACC, FASE

Corresponding Author

Tomás F. Cianciulli MD, FACC, FASE

Cardiology Department, Hospital of the Government of the City of Buenos Aires “Dr. Cosme Argerich”, Buenos Aires, Argentina

Principal Researcher of the Ministry of Health of the Government of the City of Buenos Aires.

Correspondence

Tomás F. Cianciulli MD, FACC, FASE, Cardiology Department, Hospital of the Government of the City of Buenos Aires “Dr. Cosme Argerich”, Buenos Aires, Argentina.

Email: [email protected]

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Luis A. Morita MD

Luis A. Morita MD

Cardiology Department, Hospital of the Government of the City of Buenos Aires “Dr. Cosme Argerich”, Buenos Aires, Argentina

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María C. Saccheri MD

María C. Saccheri MD

Cardiology Department, Hospital of the Government of the City of Buenos Aires “Dr. Cosme Argerich”, Buenos Aires, Argentina

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Marcelo Zylberman MD

Marcelo Zylberman MD

Internal Medicine Department, Hospital of the Government of the City of Buenos Aires “Dr. Cosme Argerich”, Buenos Aires, Argentina

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First published: 12 September 2021
Citations: 1

Abstract

We present the case of a 46-year-old patient with hypothyroidism secondary to Hashimoto's thyroiditis who was admitted with decompensation in the form of myxedema. A 2-D echocardiogram shows a septal asymmetric hypertrophy, with low-voltage QRS complex in the ECG and a bull's-eye map of longitudinal strain with preserved apical strain with reduction of mid and basal strain that results in “cherry on the top” pattern, similar to the most frequent phenocopy of hypertrophic cardiomyopathy, as is the cardiac amyloidosis, and that, unlike this pathology, reverted after the patient reached the euthyroid state.

CONFLICT OF INTEREST

Tomás F. Cianciulli, Luis A. Morita, María C. Saccheri and Marcelo Zylberman, declare that they have no conflict of interest regarding this manuscript.

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