Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Cardiac abnormalities associated with hypothyroidism attracted a great deal of investigational effort. There are only a few studies done in our country to asses CVS parameters in hypothyroid patients. Hypothyroidism causes reversible cardiac dysfunction. This study is aimed at studying the cardiac manifestations of hypothyroidism by ECG and ECHO. Thus, reassessing the need for treatment even in the milder forms of the disease. Data for this study were collected from 50 new patients of hypothyroidism. They were clinically evaluated and underwent relevant investigations, including thyroid profile estimation, cardiac evaluation using ECG and 2D ECHO. The majority of patients were between the age groups of 31‐40, with the mean age being 36.26 years. There was an overall female preponderance over all age groups with a xi mean age of 36.26 years. The female population constituted about 76% of the total. The most common symptoms were weight gain, lethargy, dry skin and hoarseness of voice. On general examination, the most common findings were weight gain and dry skin found in around 76% and 64% of patients, respectively. Goiter was found in 10% of patients. On systemic examination, diminished heart sound is found in 28% of patients and cardiomegaly in 8%. CNS examination revealed delayed ankle jerk in 40% Lipid analysis showed an increase of TC, LDL, VLDL, TGL and a decrease of HDL. Normal ECG is found in 30% of patients. Bradycardia is the most common finding seen in 20 patients counting for 40%. Low voltage complexes are seen in 34% of patients. ECHO findings. Echo findings are normal in 40% cases. Pericardial effusion is the next common finding seen in 14 cases accounting for 28%. Diastolic dysfunction is seen in 26% of the total, 18% of them being mild dysfunction. Moderate diastolic dysfunction in 4%, Severe diastolic dysfunction is seen in 2%. Among 50 new cases of hypothyroidism, pericardial effusion was found in 28% of patients. Diastolic dysfunction was seen in 26% of patients. Thus any unexplained pericardial effusion should be screened for hypothyroidism.
How to cite this article:
M. Murali Krishna and Shaik Hussain Basha. A Study of Cardiovascular Manifestations in Newly Diagnosed Hypothyroidism Patients.
DOI: https://doi.org/10.36478/10.36478/makrjms.2021.126.130
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2021.126.130