STATE OF THYROID GLAND FUNCTION IN PATIENTS ADMITTED TO CORONARY CARE UNIT

Volume 13 , Issue 1 , March 2023 , Pages 31-38

Authors

Amanj Abubakr Jalal Khaznadar 1 ; Zaynab Muhammed Bahadir Baban 2

1 College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.

2 Internal Medicine Board Trainee, Ministry of Health, Kurdistan Region, Iraq.

DOI logo 10.17656/jsmc.10394

Keywords

Abstract

Background
A large number of patients are admitted to coronary care units daily. Thyroid gland abnormalities are one
of the reasons which cause people to have cardiac events. Therefore, detecting thyroid gland abnormalities
among cardiac care unit patients and early management leads to less morbidity/mortality and a better longterm prognosis for those patients.
Objectives
The study was done to detect the function of thyroid gland abnormalities and their effect on different cardiac
conditions among patients admitted to CCU.
Patients Methods
This descriptive cross-sectional study includes a consecutive non-random sampling of 201 patients. All the
patients enrolled in this study were admitted to the CCU unit of Sulaimanya Teaching Hospital and Shar
Hospital in Sulaimanya city/Iraq between August 2021 and January 2022. Thyroid function test and lipid
profile were checked for the participants. The pediatric age group, pregnant women, patients with malignancies/
severe systemic illness /on amiodarone/ congenital heart disease were excluded. Statistical Package analysed
the collected data for Social Science (SPSS) (version 22.0).
Results
One hundred fifteen (57.2%) participants were male, and 86(42.8%) were female. The most common age group
was between 45-64 years. HTN(%44.3), diabetes (29.9%) and hyperlipidemia (17.9%) were common comorbid
conditions. The most common cause of admissions to CCU was due to ACS (63.2%) and then arrhythmia
(22.9%), decompensated heart failure (12.9%) and pericardial diseases (1%). In addition, 82.59% (166) of the
participants were euthyroid, and 17.41% (35) had thyroid gland function abnormalities.
Conclusion
The effect of thyroid hormone problems on cardiac conditions is one of the important causes of CCU admissions.
Patients with ACS and heart failure are presented with hypothyroidism. However, arrhythmia is present more
in cases of hyperthyroidism.

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