Thyroxine Therapy, Hypothyroid Patients, and Coronary Revascularization
Authors: IRWIN KLEIN
Journal: Annals of Internal Medicine (1982)

Letters and Corrections1 February 1982Thyroxine Therapy, Hypothyroid Patients, and Coronary RevascularizationIRWIN KLEIN, M.D., GERALD S. LEVEY, M.D.IRWIN KLEIN, M.D.Search for more papers by this author, GERALD S. LEVEY, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-96-2-250_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: In their article, Hay and coauthors (1) address the question of the safety and the appropriateness of thyroid hormone replacement in patients with incapacitating coronary artery disease. They conclude that in this limited group of hypothyroid patients with atherosclerotic cardiovascular disease, thyroid hormone replacement is accompanied by complications that outweigh the therapeutic benefits of attaining a euthyroid state. Unfortunately, this study was retrospective and suffers from the serious limitations inherent in such analysis.The 18 patients selected had had aortocoronary artery bypass surgery and a coexist diagnosis of hypothyroidism. The indications used to select patients for coronary...References1. HAYDUICKVLIETSTRA IDR. Thyroxine therapy in hypothyroid patients undergoing coronary revascularization: a retrospective analysis. Ann Intern Med. 1981;95:456-7. LinkGoogle Scholar2. KEATINGPARKINSELBYDICKINSON FTJL. Treatment of heart disease associated with myxedema. Prog Cardiovasc Dis. 1961;3:364-81. CrossrefMedlineGoogle Scholar3. WEINBERGBRENNANMARSH AMH. Anesthetic and post operative risks in hypothyroid patients. In: Program of the 56th Meeting of the American Thyroid Association. November 1980. Abstract. Google Scholar4. CROWLEYRIDGWAYBOUGH WEE. Noninvasive evaluation of cardiac function in hypothyroidism, N Engl J Med. 1977;296:1-6. CrossrefMedlineGoogle Scholar1. NELSONPALMERBOWYER JFA. The successful treatment of myxedema and coronary artery disease in patients intolerant of thyroid hormone. Med Arts Sci. 1974;28:15-22. MedlineGoogle Scholar2. PAINEROGERSBAXLEYRUSSELL TWWR. Coronary arterial surgery in patients with incapacitating angina pectoris and myxedema. Am J Cardiol. 1977;40:226-31. CrossrefMedlineGoogle Scholar3. KEATINGPARKINSELBYDICKINSON FTJL. Treatment of heart disease associated with myxedema. Prog Cardiovasc Dis. 1961;3:364-81. CrossrefMedlineGoogle Scholar4. Management of angina and hypothyroidism. Br Med J. 1981;282:1818-9. Editorial. CrossrefMedlineGoogle Scholar5. LEVINE H. Compromise therapy in the patient with angina pectoris and hypothyroidism: a clinical assessment. Am J Med. 1980;69:411-8. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: University of Pittsburgh and The Pittsburgh Veterans Administration Hospital Pittsburgh, PA 15261 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 February 1982Volume 96, Issue 2Page: 250-251KeywordsAtherosclerotic cardiovascular diseaseCardiovascular therapyCoronary revascularizationHypothyroidismRetrospective studiesSafetyStable coronary artery diseaseSurgeryThyroid hormonesThyroxine Issue Published: 1 February 1982 PDF DownloadLoading ...