Yet another paper which emphasises the importance of thyroid hormone for the heart. But still emphasises levothyroxine alone (in the abstract, at least).
The Management of Thyroid Abnormalities in Chronic Heart Failure.
Biondi B1.
Author information
Abstract
The cardiovascular system is one of the main targets of thyroid hormone action, and triiodothyronine deficiency has crucial consequences on cardiac structure and function. Patients with overt or subclinical hypothyroidism should be treated with levothyroxine to improve their cardiovascular function and the potential risk of heart failure. Even patients with thyroid hormone deficiency and heart failure should receive replacement doses of levothyroxine to improve their prognosis and worsening of the cardiovascular function. An innovative therapeutic multifactorial approach could improve the progression of heart failure. There is a potential beneficial effect of thyroid hormones and their analogs in patients with heart failure.
My Nan had angina and died young at 65yrs. All I know is that she had an underactive thyriod. So far my mum is the oldest surviving member at 66yrs. This is one reason why I pursue adequate and proper treatment.
My grandmother had thyroid trouble with a goitre and apparently heart problems. She died before I was born but my mother said she would perhaps be sitting eating her tea, suddenly stand up, clutching her throat and struggling to breathe, and have to rush outside for air. Maybe her swallowing was affected My mother also had thyroid trouble when young (the doctor said it must have been from an infection because she seemed to get over it), but her heart was OK. I have had a few episodes of palpitations and irregular heartbeat but not painful and didn't last long - it's very common.
Yes, my mum, Nan, sister and ofcourse myself all with thyriod issues and they say it’s not genetic? 😉
"Patients with overt or subclinical hypothyroidism should be treated with levothyroxine to improve their cardiovascular function and the potential risk of heart failure. Even patients with thyroid hormone deficiency and heart failure should receive replacement doses of levothyroxine..."
I read the above three times but it still seems as if they are repeating themselves. Overt or subclinical hypothyroidism is the same as thyroid hormone deficiency isn't it??? Or is it me?
that's a thought - would make sense then. It makes no difference to what the article is about but it made me wonder if I was the one going a bit loopy, lol
Interesting articles but in sciencedirect they seem to emphasize the importance of t3 rather than levothyroxine which some how makes sense. Helvella thank you so much for sharing this piece of resent research.
My understanding is that T3 effects the heart, when i lowered my T3 my heart palpitations went away, I also upped my T4 at the same time. What works for one may not work for everyone.
But I look at it very much as a need to right-dose. For some, even a small under- or over-dose seems to be noticeable almost straight away. Others seem more tolerant.
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