Cardiology and Hashimoto’s disease

[Manhattan1]

just a quick question.. i have non obstructive coronary artery disease .. Cardiologist doesn’t believe it’s serious enough to cause angina despite suffering chest discomfort from time to time.. he can’t totally rule out MVA but doesn’t seem interested in carrying out the test to confirm or rule that out😂.. found out a few weeks ago i now have Hashimoto’s disease.. and i may have had it for a few years.. when chest discomfort started..so.. would it be worthwhile to let Cardiology know or would it not really make much difference to his opinion?

[Milkfairy Heart Star]

Hello,

I suggest you do make your Cardiologist aware of your Hashimoto's disease.

There is an association between low thyroxine levels and heart disease.

My GP checks my thyroxine levels every few years.

[Manhattan1 in reply to Milkfairy]

thanks😊.. angiogram late 2020 showed mild atherosclerosis.. Cardiologist wasn’t very concerned about it.. told me to keep taking statin.. bp meds and 75mg aspirin daily.. advised i had NOCAD.. that’s why i’m not sure of informing him i have Hashimoto’s will make a difference to his diagnosis.. seems thyroid problem was noted on my record the same year i started having the chest discomfort.. the year i started seeing Cardiology.. not sure if Cardiology was aware of that

[Fourwhitesheps]

Hi I have under active thyroid. I would just let them know. Also If you are on levothyroxine take it separately from your heart medication. Join thyroid Uk helpful advice. Good luck.

[Manhattan1 in reply to Fourwhitesheps]

thanks… Endicrinologist have advised GP no medication needed right now.. they’ve advised frequent blood tests to keep an eye on levels.. next one is due end of March

[fishonabike]

push your Cardiologist for tests for MVA. This is every bit as serious as obstructive coronary artery issues and should be investigated and treated, And make sure your endocrinologist is aware of this. As Milkfairy says, thyroid issues can impact your heart

[EMBoy]

Underactive thyroid can cause low heart rate and enlargement of the heart, and can increase blood cholesterol. Very important that you tell your cardiologist so that he can take it in to account.

Hypothyroidism is an awful illness if left untreated so, if I were you, I'd research the symptoms and keep badgering your GP if you are suffering from any of them. Make sure you are being tested for T4 as well as TSH (T3 would also be a good idea, but they probably won't test you for that).

[Manhattan1 in reply to EMBoy]

Endocrinologist meantions TSH and T4 in letter to GP.. i’m going to contact Cardiologist’s secretary on Friday and ask if the Hashimoto diagnosis could have a bearing on chest discomfort and other symptoms that started a few years ago.. Cardiologist said my previous symptoms could be MVA but no test for that was carried out during my angiogram in 2020

[Manhattan1 in reply to EMBoy]

called Cardiologist secretary this morning.. left a message asking of the Hashimoto’s could be contributory factor in chest discomfort when walking up stairs or slightly hilly roads.. when i first saw the Cardiologist in 2017 he mentioned MVA but no test has ever been carried out..and he said that angiogram showed slight atherosclerosis but not enough to cause angina.. so will wait for his response to see if the Hashimoto’s diagnosis could point to perhaps MVA or Coronary artery spasms

[EMBoy]

Let's hope your cardiologist is able to sort this out for you.