Please could you help and advise on the attached results?
My case is very complicated as I have congenital heart structural disease so I have had arrhythmia issues too. I recently had my pulmonary valve replaced but my heart remains enlarged and the arrhythmia despite a maze procedure I’ve now had an ICD fitted.
Yet still getting palpitations. I was previously diagnosed with sub clinical hypothyroidism but tests stopped due to the above heart needs.
Hopefully, this will give me the final answers
What do the results below mean? Thank you
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Quyejoyce1
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Thank you SlowDragon, yes they didn’t do the antibodies last year and insisted my surgery to replace my pulmonary valve and arrhythmia was undertaken first. So they wouldn’t start medication until after then. I always have low ferritin and folate. Vit D and B12 have been low previously.
Super glad to finally be making progress even if it means I have gone full circle over the last 18 months or so.
I’m 45. I need a full set of vitamin tests as I’ve had an iron transfusion since the last set was taken. My haemoglobin was severely low after a blood transfusion during my operation.
I’m not currently taking any supplements. I was taking folic acid and iron but advised to stop after the iron transfusion in November.
Vitamin D deficiency is frequent in Hashimoto's thyroiditis and treatment of patients with this condition with Vitamin D may slow down the course of development of hypothyroidism and also decrease cardiovascular risks in these patients. Vitamin D measurement and replacement may be critical in these patients.
Vitamin D insufficiency was associated with AITD and HT, especially overt hypothyroidism. Low serum vitamin D levels were independently associated with high serum TSH levels.
The thyroid hormone status would play a role in the maintenance of vitamin D sufficiency, and its immunomodulatory role would influence the presence of autoimmune thyroid disease. The positive correlation between free T4 and vitamin D concentrations suggests that adequate levothyroxine replacement in HT would be an essential factor in maintaining vitamin D at sufficient levels.
I’m in East London. I was previously under Barts. But they discharged me due to the heart issues. I’ve just asked the royal Brompton who I’m under for my CHD if I can get advice from their endo as it makes sense to do it all at one place with all the specialists consulting with each other.
Problem I have now is consultants are too scared to touch me with all my heart issues as well.
There is some concern that administering thyroxine in a dose which suppresses serum TSH may provoke significant cardiovascular problems, including abnormal ventricular diastolic relaxation, a reduced exercise capacity, an increase in mean basal heart rate, and atrial premature contractions.12 Apart from an increase in left ventricular mass index within the normal range, these observations have not been verified.13 Moreover, there is no evidence, despite the findings of the Framingham study, that a suppressed serum TSH concentration in a patient taking thyroxine in whom serum T3 is unequivocally normal is a risk factor for atrial fibrillation.
Atrial fibrillation can occur with low Ft3 or low Ft4
The GP come back to me after seeking advice from the local hospital endo department and is refusing to do anything. Other than retest in 6 months. No consideration for Hashimotos etc.
I fortunately got my heart hospital to agree to a referral to their endo specialist. Meanwhile I feel worse every day...
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