Prevalence of Subclinical Hypothyrodism in Patients with Acute Myocardial Infarction

P. Saxena
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Abstract

The present study shows an association of Prevalence of Subclinical Hypothyrodism (SCH) with Myocardial Infarction (MI).  200 patients with Acute MI of Adult (age > 18 years) males and females were selected. We observed that female Patients belonging to Age group of 51-60(15.5%) were more prone to MI. Study depicts SCH were observed in 16% of MI patients and Euthyroid was observed in 84% Patients. No gender difference was noted in abnormal thyroid hormone profile in male and female group. A higher prevalence of MI was seen in age group 51-60 years in both male and female accounting for 26% and 15.5%respectively. A statistically higher prevalence of STEMI was seen in SCH and Euthyroid Patients (77.5%) as compared to NSTEMI in SCH and Euthyroid Patients (22.5%). Physicians should be encouraged to educate the people about the risks of diabetes, hypertension and smoking. Furthermore, abnormal thyroid status increases risk of coronary artery disease and cardiovascular mortality affecting ventricular function, serum cholesterol levels, and heart rate and rhythm.
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急性心肌梗死患者亚临床甲状腺功能减退的患病率
本研究显示亚临床甲状腺功能减退(SCH)患病率与心肌梗死(MI)的相关性。选取成人(年龄> 18岁)急性心肌梗死患者男女各200例。我们观察到51-60岁年龄组的女性患者(15.5%)更容易发生心肌梗死。研究显示,16%的心肌梗死患者出现SCH, 84%的患者出现甲状腺功能正常。男女组甲状腺激素异常无性别差异。51-60岁年龄组男性和女性心肌梗死发生率均较高,分别占26%和15.5%。从统计学上看,SCH和甲状腺功能正常患者的STEMI患病率(77.5%)高于SCH和甲状腺功能正常患者的NSTEMI患病率(22.5%)。应该鼓励医生教育人们糖尿病、高血压和吸烟的风险。此外,甲状腺状态异常会增加冠状动脉疾病和心血管死亡的风险,影响心室功能、血清胆固醇水平、心率和节律。
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