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Prog Pediatr Cardiol. 2020 Sep;58:101264. doi: 10.1016/j.ppedcard.2020.101264. Epub 2020 Jun 25.

Mitral valve prolapse in adolescent female with hyperthyroidism.

Progress in pediatric cardiology

Elliot Griffith, Eva Nunlist

Affiliations

  1. Nemours Cardiac Center, Nemours Children's Hospital, Orlando, FL, United States of America.
  2. Department of Pediatrics, University of Central Florida College of Medicine, Orlando, FL, United States of America.

PMID: 32837146 PMCID: PMC7315958 DOI: 10.1016/j.ppedcard.2020.101264

Abstract

Mitral valve prolapse is prevalent in about 6% of young healthy females yet two to three times as prevalent in patients with hyperthyroidism [1, 8]. Hyperthyroidism is often missed as an underlying diagnosis when mitral valve prolapse is visualized by echocardiogram. There are many cardiac findings reported in the literature associated with hyperthyroidism. However, hyperthyroidism may be difficult to diagnose in the early stages of the disease process without other classic signs and symptoms. We report a case of an adolescent female who presented to our cardiology clinic with palpitations and chest pain diagnosed with hyperthyroidism after subtle findings of mitral valve prolapse and trivial mitral regurgitation. This case report will review the classic cardiac changes which may be observed on echocardiography in patients with hyperthyroidism.

© 2020 Elsevier B.V. All rights reserved.

Keywords: Chest pain; Hyperthyroidism; Mitral valve prolapse; Palpitations; Pulmonary hypertension; Tricuspid valve prolapse

Conflict of interest statement

Authors have no conflicts to disclose.

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