TY - JOUR T1 - A not so typical pericardial effusion case… JF - Heart JO - Heart SP - 1915 LP - 1915 DO - 10.1136/heartjnl-2015-308115 VL - 101 IS - 23 AU - William R Miranda AU - Darrell B Newman AU - Rick A Nishimura Y1 - 2015/12/01 UR - http://heart.bmj.com/content/101/23/1915.abstract N2 - A 71-year-old woman with paroxysmal atrial fibrillation and hypothyroidism on hormone replacement presented with a 3-month history of progressive exertional dyspnoea and decline in functional capacity. She was evaluated and found to have a moderate circumferential pericardial effusion on transthoracic echocardiography without 2D or Doppler signs of tamponade physiology. Laboratory test showed normal thyroid-stimulating hormone and C-reactive protein levels, and sedimentation rate. Tuberculosis testing was negative and rheumatological panel was unrevealing. She was started on colchicine for idiopathic pericarditis. Due to progressive symptoms, she was referred to our institution for further evaluation. On … ER -