Metabolic and Cardiovascular Aspects of Subclinical Hypothyroidism: Effects of L-Thyroxin Replacement Therapy
نویسندگان
چکیده
SH is defined as a serum thyroid stimulating hormone (TSH) above the upper limit of the reference range, with a serum T4 and T3 thyroxine within the reference range. Other causes of a raised TSH such as a past history of thyroid disease and patients on T4 hormone treatment need to be excluded. Although patients with subclinical thyroid disease are usually asymptomatic, but nearly 30% have symptoms or signs of hypothyroidism [1,2].
منابع مشابه
Effect of L-thyroxin therapy on thyroid volume and carotid artery lntima-media thickness in the patients with subclinical hypothyroidism
Background: Subclinical hypothyroidism (SCH) is mild-to-moderate thyroid insufficiency that is characterized by thyrotropin (TSH) level higher than the upper limit despite normal serum free thyroxin (fT4) level. Likewise, SCH as well might be a risk factor for cardiovascular diseases. Some placebocontrolled studies showed beneficial effect of L-thyroxin replacement on the risk for early atheros...
متن کاملEchocardiographic left ventricular functional changes in acute hypothyroidism vs. subclinical hyperthyroidism in patients with differentiated thyroid carcinoma
Introduction: In order to assess echocardiographic left ventricular functional indices in patients with differentiated thyroid carcinoma (DTC), after L-T4 withdrawal (short-term overt hypothyroidism) and during TSH suppressive therapy, we have evaluated cardiac hemodynamics in a single cohort study. Methods: 24 patients with DTC were studied in two phases: 1: at least 4 weeks after L-T4 withd...
متن کاملStudy of the effects of maternal hypothyroidism and thyroxin therapy on the neuronal density of subiculum in rat newborns
Introduction: It is well established that thyroid hormones are essential for normal development of mammalian brain. Thyroid hormone deficiency during critical period of brain development can exert devastative and irreversible effects on neuronal functions as well as on learning abilities and memory. The aim of the present investigation was to investigate the effects of maternal hypothyroidis...
متن کاملEffect of Thyroxin Treatment on Carotid Intima–Media Thickness (CIMT) Reduction in Patients with Subclinical Hypothyroidism (SCH): a Meta-Analysis of Clinical Trials
AIM Research shows that subclinical hypothyroidism (SCH) is related to an increased carotid intima-media thickness (CIMT), a surrogate marker of subclinical cardiovascular disease (CVD). It is controversial whether or not SCH should be treated to reduce CVD morbidity and mortality. This meta-analysis aimed to determine whether SCH is associated with an increase in CIMT as compared to Euthyroidi...
متن کاملThyroid Dysfunction and Arterial Stiffness. Does the Restoration of Thyroid Function Tests Offer any Benefit?
A growing body of evidence suggests that hypothyroidism and hyperthyroidism, either as overt or subclinical states, are associated with increased risk for cardiovascular disease (CVD). Except for the increased prevalence of lipid disorders, coagulation abnormalities, endothelial dysfunction, cardiac arrhythmias, ventricular hypertrophy and hypertension have been proposed as the most plausible p...
متن کامل