Effects of Levothyroxine Treatment on Cardiac Functions in Infants with Compensated Hypothyroidism
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Original Article
P: 1-9
April 2022

Effects of Levothyroxine Treatment on Cardiac Functions in Infants with Compensated Hypothyroidism

J Curr Pediatr 2022;20(1):1-9
1. Akdeniz Üniversitesi Tıp Fakültesi, Çocuk Endokrinoloji Anabilim Dalı, Antalya, Türkiye
2. Antalya Eğitim ve Araştırma Hastanesi, Pediatrik Kardiyoloji Kliniği, Antalya, Türkiye
3. Antalya Eğitim ve Araştırma Hastanesi, Neonatoloji Kliniği, Antalya, Türkiye
4. Akdeniz Üniversitesi Tıp Fakültesi, Çocuk Kardiyoloji Anabilim Dalı, Antalya, Türkiye
No information available.
No information available
Received Date: 09.11.2021
Accepted Date: 21.01.2022
Publish Date: 22.04.2022
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ABSTRACT

Conclusion:

These results indicate the presence of cardiac involvement with various severity in cases with hypothyroidism and it was noted that L-T4 treatment had an improving effect on cardiac parameters.

Results:

A disturbance was found in cardiac parameters at the beginning in the first, second and third groups. Improvement in diastolic functions was observed in the second group at the end of the third month after the LT-4 treatment. There was no positive change in first group at the end of the third month. In the third group in which thyroid hormone deficiency was more severe than the other two groups, initial systolic and diastolic dysfunction resolved with three months of L-T4 treatment.

Materials and Methods:

Fourty one cases who admitted with elevated TSH levels were included to this study. The cases were divided into three groups. The cases with elevated TSH but in whom CH was excluded were included to first group and those who received treatment to second group. The cases diagnosed as overt hypothyroidism were included to third group. A fourth group was created as a control group. Among these groups, systolic functions and diastolic functions were compared by using M-mode echocardiography and Pulse Wave Tissue Doppler echocardiography. In addition, cardiac intervals including IVCT, IVRT, DT, ET and MPI values were compared.

Introduction:

Thyroid diseases have effects on cardiovascular system and compensated hypothyroidism (CH) can cause sytolic and diastolic dysfunctions. We aimed to investigate the effects of levothyroxine (LT-4) treatment on cardiac functions in infants with CH.

References

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