Pericardial effusion may be the tipping point to unravel hypothyroidism. Large effusions may not correlate with severity of cardiovascular compromise. Medical therapy over surgical intervention is appropriate if no evidence of cardiac tamponade.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7981775PMC
http://dx.doi.org/10.1002/ccr3.3857DOI Listing

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