End-organ responses to thyroxine therapy in subclinical hypothyroidism.

Abstract:

:We studied variables known to change with thyroid hormone status in 18 patients with subclinical hypothyroidism before and during treatment with thyroxine in a dose sufficient to restore the plasma TSH response to TRH to normal. There was an associated increase in both plasma total T4 and free T4 within the normal range but plasma total T3 and free T3 were unchanged. As a result of thyroxine treatment there was a small but significant increase (P less than 0.05) in left ventricular ejection fraction (LVEF) with maximal exercise but no significant changes in LVEF at rest and moderate exercise, continuously monitored mean sleeping heart rate, day/night ratios of urinary sodium excretion, peripheral nerve conduction velocities, fasting serum triglycerides, total cholesterol (TC), high density lipoproteins (HDL) or TC/HDL ratios. On this evidence we do not consider that thyroxine replacement therapy is indicated in patients with subclinical hypothyroidism.

journal_name

Clin Endocrinol (Oxf)

journal_title

Clinical endocrinology

authors

Bell GM,Todd WT,Forfar JC,Martyn C,Wathen CG,Gow S,Riemersma R,Toft AD

doi

10.1111/j.1365-2265.1985.tb01068.x

subject

Has Abstract

pub_date

1985-01-01 00:00:00

pages

83-9

issue

1

eissn

0300-0664

issn

1365-2265

journal_volume

22

pub_type

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