Abstract

Irida Kecaj, Ergita Nelaj*, Kei Xhixhabesi, Ilir Gjermeni and Ina Refatllari

ABSTRACT

The literature is full of information on the important cellular and hemodynamic effects of thyroid hormones and their important role in function and cardiac structure. Changes follow both hyperthyroidism and hypothyroidism in myocardial contractility, myocardial oxygen consumption, cardiac output, systemic or pulmonary vascular resistance. Due to the high frequency of hyperthyroidism, it is crucial to recognize its cardiovascular complications as a consequence of the high degree of mortality and morbidity that these complications present. Among the thyroid disorders that are associated with pulmonary hypertension are mainly forms of hyperthyroidism. The majority of patients with pulmonary arterial hypertension are elderly with toxic thyroid goiter. Thyroid hormone control should be considered in all patients with pulmonary hypertension. We present a case with a giant hyperfunctioning thyroid goiter which was considered as the cause of pulmonary arterial hypertension, which was resolved without any specific treatment for it, after thyroid treatment.