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Restoration of sinus rhythm following levothyroxine treatment in a case of primary hypothyroidism presenting with atrial fi brillation and pericardial effusion
A 72-year-old man presented with palpitation, dyspnea, and chest discomfort. Initial investigations revealed atrial fi brillation (AF)
and pericardial effusion, further investigations unraveled primary hypothyroidism (thyroid stimulating hormone) of 34.7 IU/ml and
total thyroxine (T4) of 5.57 g/dl). Treatment with levothyroxine led to resolution of symptoms, AF, and pericardial effusion.

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