Background Thyroid diseases are common in India. Both insufficient and excess thyroid hormones cause adverse cardiovascular events. Subclinical hypothyroidism and hyperthyroidism while undiagnosed can lead to derangement of cardiac functions. This study aimed to explore thyroid function abnormalities among heart failure patients of different severity (NYHA class). Methodology A descriptive, cross-sectional study was undertaken on 492 heart failure patients (246 males and 246 females) of age greater than 18 years. Patients were classified according to NYHA. Serum TSH and FT4 were investigated. Data were analyzed by standard statistical software. Results The mean age of participants was 54.2 ± 13.1 years. Mean FT4 and TSH were 1.36 ± 0.39 ng/dL and 2.89 ± 1.15 mIU/L, respectively. Patients belonged to NYHA class II (35.4%), III (52.4%) and IV (12.2%). Comorbidities included Hypertension (38%), Diabetes Mellitus (29%) and Dyslipidemia (52%). Hypothyroidism and hyperthyroidism were present in 27% and 5% patients respectively in overt or subclinical forms. The prevalence of thyroid disorders among NYHA class II, III and IV patients were 17%, 37%, and 50%, respectively. Conclusion Thyroid disorders were present in about one-third of the patients with heart failure. The prevalence of hypothyroidism was almost five times that of hyperthyroidism. The prevalence of thyroid disorders increased with the severity of heart failure.
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