Abstract

Background : Subclinical hypothyroidism could damage vascular function by suggesting enhance in SVR and arterial rigidity and by changing endothelial purpose and so increasing the danger of atherosclerosis and coronary artery disease. The objective of this study is to analyze the relation amid SCH and serum lipid parameters in this subgroup. Subjects and Methods: Current research was performed for the duration of one year at the Department of Medicine, tertiary care institute of India, in patients diagnosed with Sub Clinical Hypothyroidism. Eighty patients were incorporated in the present study and 80 age- and sex-matched and regularly menstruating healthy controls, which were evaluated for the Thyroid Function test, were randomly recruited from staff and volunteers. T3, T4, and TSH were anticipated by utilizing quantitative hard stage ELISA, whereas TC was estimated with photometric determination according to the CHOD PAP method; TG and HDL were estimated by using the enzymatic colorimetric method. Results: There is a momentous augment in the serum TC stage in group II individuals 161.14 48.23 mg/dl when compared to group I 124.35 9.57 mg/dl, it is also a significant amplify in serum LDL-Cholesterol in group II individuals 97.99 32.42 mg/dl when compared to group I individuals 63.35 7.55. Conclusion: Subclinical hypothyroidism (SCH) is linked with increased serum TC and LDL-C levels. As a result, a prospective association amid subclinical hypothyroidism and atherosclerosis occurs. Larger studies are needed to prove this association in Indian patients.

Highlights

  • Serum was separated for the estimation of serum thyroidstimulating hormone (TSH), T3, T4, and total cholesterol (TC), triglyceride (TG), high-density lipoprotein (HDL), low-density lipoprotein (LDL), which were derived from TC and TG, using Friedwald’s Formula, Very lowdensity lipoprotein (VLDL) derived from TG.[9,10]

  • There is a significant increase in the serum TC level in group II individuals 161.14±48.23 mg/dl when compared to group I 124.35±9.57 mg/dl, p

  • There is an important amplify in serum LDL-Cholesterol in group II individuals 97.99±32.42 mg/dl when compared to group I individuals 63.35±7.55, p

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Summary

Introduction

SCH can be described as an elevated serum thyroidstimulating hormone (TSH) and normal serum total/free thyroxine (T4), triiodothyronine (T3) concentrations linked with little or no signs of hypothyroidism. [1,2] Subclinical hypothyroidism is a lot more frequent than obvious hypothyroidism, [3,4] with a global occurrence of about 7.5% to 8.5% in women and 2.8% to 4.4% in men. [5] Hypothyroidism can be either primary that is due to the defect in the thyroid gland (or) secondary due to the defect in the pituitary gland. [6] Overt hypothyroidism is associated with dyslipidemia or with atherosclerosis and cardiovascular disorders. [7] The co-relation between dyslipidemia and overt hypothyroidism is well established. [7] The symptoms related to SCH are nonspecific and depend on individual sensitivity to different circulating. [8] Though SCH can affect various organ systems, the cardiovascular system is the chief objective. [11,12,13] This discrepancy could be due to differences in study population (age, sex), techniques of assessment of cardiovascular disease, TSH range that defines SCH and dissimilarity in modifications for recognized risk factors for cardiovascular disease. The purpose of this research is to analyze the relation among SCH and serum lipid parameters in Academia Journal of Medicine Volume 3 Issue 2 July-December 2020. Subclinical hypothyroidism could damage vascular function by suggesting enhance in SVR and arterial rigidity and by changing endothelial purpose and so increasing the danger of atherosclerosis and coronary artery disease. The objective of this study is to analyze the relation amid SCH and serum lipid parameters in this subgroup. Larger studies are needed to prove this association in Indian patients

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