Clinical Case Database / Category: Patient Management

Thyrotoxicosis induced heart failure with secundum ASD

Publication details

Dr Heerajnarain Bulluck, Dr Leisa Joan Freeman
Foundation Years Journal, volume 8, issue 2, p.52 (123Doc Education, London, February 2014)


Thyrotoxicosis is a rare but reversible cause of pulmonary hypertension and right heart failure. Treatment of the thyroid disorder usually leads to complete normalisation of the pulmonary artery pressure and right ventricular function. This patient had a co-existing secundum atrial septal defect (ASD) which made her management challenging. This case illustrates the interplay of various factors leading to her presentation and subsequent management and the multi-disciplinary team (MDT) approach in her treatment.

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Dr Heerajnarain Bulluck

Department of Cardiology
Norfolk and Norwich University Hospital
Colney Lane
Norwich, NR4 7UY

Dr Leisa Joan Freeman

Department of Cardiology
Norfolk and Norwich University Hospital
Colney Lane
Norwich, NR4 7UY


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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