Heart abnormalities with hashimotos hypothyroidism?

[Amethyst91]

I’ve been going through a lot and if anyone clicks my profile it’s a crazy read going all over the place. Anyway I had radioiodine for my hyperthyroidism and it was found out that I actually had have hashimotos thyroid so the radiation totally killed off my thyroid fast. I’m trying to get it in place and only been on meds for a month or so. My heart has come up fine in all my ekgs or echocardiograms in the last few months. Yesterday I went to the hospital for my issues continuing and they gave me an ekg due to my chest pain complaints and it came up abnormal for the first time. I have had chest pains more often than normal and I’m trying to get ahold of my endocrinologist but it’s difficult. The abnormalities showed up and Pulmonary disease and right atrial enlargement. I’m wondering if this is caused by the sudden change in my thyroid and how I’ve been really struggling with the severe symptoms of it in the last two months. I feel like they tried to say hyperthyroidism was worse for me but it seems as though hypothyroidism has been my true downfall.

[SlowDragon Administrator]

ahajournals.org/doi/10.1161...

In one study, among 40 patients with primary pulmonary hypertension, >22% of patients were determined to have hypothyroidism.63

Some evidence exists that autoimmune disease may play a role in both hypothyroid- and hyperthyroid-linked cases of primary pulmonary hypertension.60,61,63 Thyroid disease should be considered in the differential diagnosis of primary pulmonary hypertension.

Getting thyroid treatment correct and fine tuned may be beneficial

[Amethyst91 in reply to SlowDragon]

Definitely working on that part I just don’t think my endocrinologist is fully seeing how bad my thyroid is making me right now but I know it takes time as well. It seems like their fix it option for me is actually turning out to be opposite of a fix it

[humanbean]

Anyway I had radioiodine for my hyperthyroidism and it was found out that I actually had have hashimotos thyroid so the radiation totally killed off my thyroid fast.

That is absolutely appalling and shows total incompetence on the part of the doctors involved, but you aren't the first person to come here having this happen to them.

Everyone who comes here saying they have been told they are hyperthyroid is asked whether they have had the appropriate antibody tests to distinguish accurately between hyperthyroidism and hypothyroidism, and have they been tested for both Graves' Disease and Hashimoto's Thyroiditis. Also, knowing levels of Free T4 and Free T3 is essential in the identifying process.

...

I read your profile. If you are or have been a heavy drinker then the chances are that you are suffering from a lot of nutrient deficiencies. You are probably suffering from a lot of inflammation too.

One of the effects of being hypothyroid is that people end up with low levels of stomach acid. This prevents food being broken down properly during the digestion process and so they end up with low levels of nutrients from that problem too.

So you have a triple whammy going on - inflammation from drinking too much, I'm guessing poor diet if you drink your calories instead of eating them, and hypothyroidism with its problem of poor digestion. But you're only 28, so you have a very good chance of healing lots of your health problems if they haven't gone too far.

Inflammation has a major effect on iron and ferritin (iron stores). With high inflammation ferritin gets high too, and it can make people think they have plenty of iron when in fact their serum iron is very low. But it is often the case that only ferritin is measured, and serum iron isn't so this problem doesn't get discovered. Low iron can affect the heart rhythm, and cause chest pain if it gets severe enough.

I hope you are taking vitamin B1 (also called thiamine) by the bucket load - for the reasons given in this link :

academic.oup.com/alcalc/art...

Doses for severe deficiency of thiamine are given in the following link and a heavy drinker should always assume they are severely deficient. Excess B1 is excreted in urine.

bnf.nice.org.uk/drug/thiami...

Severe deficiency

By mouth

For Adult

200–300 mg daily in divided doses.

You should also be topping up with a good quality B Complex in addition to the thiamine, plus high dose vitamin C. The only B vitamin to be wary of is vitamin B6 which can cause toxicity issues. But B6 deficiency causes severe problems too.

Some more links you might find helpful :

bouldermedicalcenter.com/nu...

pathwaytohope.net/blog/nutr...

healthroot.com/alcoholic-nu...

fit-recovery.com/vitamin-b1...

...

One of the things that patients with hypothyroidism have discovered is that supplementing to make sure that as many nutrients as possible are optimal makes it easier to tolerate thyroid hormones, and also makes them "work better". So there are lots of reasons to take nutrients very seriously.

[humanbean]

You haven't mentioned any other prescribed drugs you are taking or any unusual supplements. It would be worth checking the Patient Information Leaflets (PIL) and side effect data online for anything you do take.

You can find PILs on this site :

medicines.org.uk/emc/

You can get lots of side effect data from this site :

drugs.com/

For supplements, this link is worth checking :

examine.com/

[Amethyst91]

Thank you. I did quit back in May/ June and have been eating super healthy and exercising when I can. In May my vit b13 was on the losing end but not bad so I took it for a while but noticed my iron level rose to the almost too high point so stopping it brought them back to good range. I am very deficient in vit d and have been forever so I take a lot of that. My ferritin has been around 40–59 so not worrisome. Funny about the low acid as all my drs think I have too much and put me on anti acids after finding mild gastritis. I don’t take them anymore and seem to do ok. In the last two months I just feel like my body is falling apart so I want to check it all again but they don’t seem to care

[humanbean in reply to Amethyst91]

If you want to know what dose of vitamin D3 you should be taking you can use this online calculator :

grassrootshealth.net/projec...

You need to take magnesium and vitamin K2 with vitamin D because vitamin D raises absorption of calcium from the diet, and you want that calcium to go into your bones and teeth. The magnesium and K2 help to make that happen.

noticed my iron level rose to the almost too high point

Did you really mean iron in that comment or did you mean ferritin (iron stores)? If someone has lots of inflammation then their iron intake will end up being shovelled into ferritin rather than serum iron. It protects people in the case when they have any pathogens - free/serum iron would end up nourishing the pathogens, so it gets stored in ferritin instead to keep it away from any possible bugs, bacteria, viruses, etc. In those situations someone could have higher than expected ferritin while still having low serum iron.

[Amethyst91 in reply to humanbean]

So my ferritin is around 46-57 and iron saturation 159 which 160 is the cut off of high. My calcium is always 9.5 or 10 which is also cut off for high

[humanbean in reply to Amethyst91]

Since your iron saturation is so close to the top of the range I would suggest avoiding iron supplements. Having blood which is highly saturated with iron isn't great news.

You could try and improve your iron and other iron-related levels by eating a diet with more iron in it. For help on this see this website :

dailyiron.net/

Good luck.