Abstract
Thyroid dysfunction can markedly increase cardiac morbidity and mortality. Identifying and treating it promptly is critical, though may be challenging, particularly in those with known cardiac disease. Thyrotoxicosis often presents with cardiac manifestations. It is critical to establish its etiology, determine whether it is subclinical, and determine whether treatment can be deferred or is life-threatening, and whether it must be emergently controlled in instances such as when uncontrolled tachyarrhythmia, unstable angina, and thyroid storm are present. Similarly identifying hypothyroidism requires prompt diagnosis and proper categorization in order to determine whether treatment is necessary or can be deferred and whether aggressive management is called for when, for example, profound hyponatremia, ventilator dependence, and myxedema coma are present.
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Alexander EK, Pearce EN, Brent GA, Brown RS, Chen H, Dosiou C, et al. 2017 Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and the postpartum. Thyroid. 2017;27(3):315–89.
Bogazzi F, Tomisti L, Bartalena L, Aghini-Lombardi F, Martino E. Amiodarone and the thyroid: a 2012 update. J Endocrinol Invest. 2012;11(5):340–8.
Burch HB, Cooper DS. Management of Graves’ disease: a review. JAMA. 2015;314(23):2544–54.
De Leo S, Lee SY, Braverman LE. Hyperthyroidism. Lancet. 2016;388(10047):906–18.
Garber JR, Cobin RH, Gharib H, Hennessey JV, Klein I, Mechanick JI, American Thyroid Association Taskforce on Hypothyroidism in Adults, et al. Clinical practice guidelines for hypothyroidism in adults: cosponsored by the American Association of Clinical Endocrinologists and the American Thyroid Association. Thyroid. 2012;22(12):1200–35.
Martin SS, Daya N, Lutsey PL, Matsushita K, Fretz A, McEvoy JW, et al. Thyroid function, cardiovascular risk factors, and incident atherosclerotic cardiovascular disease: the atherosclerosis risk in communities (ARIC) study. J Clin Endocrinol Metab. 2017;102(9):3306–15.
Ross DS, Burch HB, Cooper DS, Greenlee MC, Laurberg P, Maia AL, et al. ATA hyperthyroidism management guidelines. Thyroid. 2016;26(10):1343–421.
Sun J, Yao L, Fang Y, Yang R, Chen Y, Yang K. Relationship between subclinical thyroid dysfunction and the risk of cardiovascular outcomes: a systematic review and meta-analysis of prospective cohort studies. Int J Endocrinol. 2017;2017:8130796.
Teasdale SL, Inder WJ, Stowasser M, Stanton T. Hyperdynamic right heart function in Graves’ hyperthyroidism measured by echocardiography normalises on restoration of euthyroidism. Heart Lung Circ. 2017;26(6):580–5.
Udovcic M, Pena RH, Patham B, Tabatabai L, Kansara A. Hypothyroidism and the heart. Methodist Debakey Cardiovasc J. 2017;13(2):55–9. houstonmethodist.org/debakey-journal.
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Sandeep, J., Hennessey, J.V. (2020). Thyroid Problems Encountered Specifically in Inpatients with Cardiac Disease. In: Garg, R., Hennessey, J., Malabanan, A., Garber, J. (eds) Handbook of Inpatient Endocrinology. Springer, Cham. https://doi.org/10.1007/978-3-030-38976-5_9
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DOI: https://doi.org/10.1007/978-3-030-38976-5_9
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