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Nathan Goodyear

Hashimoto's Thyroiditis, Risk of Coronary Heart Disease, and l-Thyroxine Treatment: A N... - 0 views

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    Hashimoto's hypothyroidism is associated with a 44% increase in Heart disease in women under the age o 49.  A non-significant change was seen in men.  This study found that T4 therapy reduced this risk.  A better study would have been if T4 was compared to T4 + T3.
Nathan Goodyear

Sex Hormone-Binding Globulin in the Diagnosis of Peripheral Tissue Resistance to Thyroi... - 0 views

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    T3, and T4 for that matter, increases SHBG.  This would be a novel method to determine thyroid hormone receptor insensitivity or resistance.
Nathan Goodyear

The thyroid : Oxford Textbook of Endocrinology and Diabetes Oxford Medicine - 0 views

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    Chapter of Thyroid from oxford textbook of endocrinology and diabetes
Nathan Goodyear

Thyroid hormone attenuates cardiac remodeling and ... [Eur J Cardiothorac Surg. 2007] -... - 0 views

  • CONCLUSIONS: Thyroid hormone administration early after infarction attenuates cardiac remodeling and significantly improves myocardial performance.
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    Wow, Thyroid replacement after MI, improves heart function and reduces damage
Nathan Goodyear

Thyroid hormone treatment among pregnant women with subclinical hypothyroidism: US nati... - 0 views

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    Thyroid therapy in women with subclinical hypothyroidism found to have improved pregnancy rates (lower pregnancy loss).
Nathan Goodyear

Thyroid Hormone and Cardiac Disease: From Basic Concepts to Clinical Application - 0 views

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    Low T3 post MI is associated with increased CHF, morbidity and mortality.  Article discusses thyroid hormones and cardiac function/remodeling post infarct.  The article also lays the ground work for a new study of T3 in patients post MI to be followed for 6 months.
Nathan Goodyear

The Colorado thyroid disease prevalence study. [Arch Intern Med. 2000] - PubMed result - 0 views

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    Poor thyroid function = poor cholesterol control
Nathan Goodyear

Prevalence of thyroid dysfunction in patients with Ménière's disease. - PubMe... - 0 views

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    Meniere's disease associated with hypothyroidism patients on thyroid medication in this study.
Nathan Goodyear

The Influence of Age on the Relationship between Subclinical Hypothyroidism and Ischemi... - 0 views

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    subclinical hypothyroidism is associated with an increase in ischemic heart disease in those <65.
Nathan Goodyear

Biomedical Papers: The prevalence of non organ specific and thyroid autoimmunity in pat... - 0 views

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    high prevalence of thyroid antibodies, TPO, in women with PCOS.  This does not prove cause and effect, merely an association.  Both are inflammation driven.
Nathan Goodyear

The association between TSH within the reference range and serum lipid concentrations i... - 0 views

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    within the normal reference range of TSH, there are wide varying physiologic effects.  Take home: a "normal TSH" doesn't always translate a normal thyroid function.
Nathan Goodyear

Racial and age-related differences in incid... [Am J Clin Pathol. 1994] - PubMed - NCBI - 0 views

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    Hashimoto's thyroiditis is more common in white females.
Nathan Goodyear

Thyroid Function Is Intrinsically Linked to Insulin Sensitivity and Endotheli... - 0 views

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    thyroid, insulin, and vascular function all linked; no linear thinking here
Nathan Goodyear

[Serum thyroid hormone levels correlate with cardi... [J Cardiol. 1993] - PubMed result - 0 views

  • Patients with ventricular tachycardia demonstrated significantly lower serum values of FT3 and FT3/FT4, and significantly higher values of rT3. Serum thyroid hormone levels can provide a quantitative index for evaluating the severity of chronic heart failure and predicting ventricular tachycardia.
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    Full thyroid evaluation, not TSH or just T4, is predictive in severity of CHF and heart tachycardia
Nathan Goodyear

Low Serum Vitamin D Is Associated with Anti-Thyroid Peroxidase Antibody in Autoimmune T... - 0 views

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    low vitamin D associated with increased TPO antibodies.
Nathan Goodyear

Low-T3 Syndrome - 0 views

  • More than 80% of the biologically active hormone triiodothyronine (T3) derives from peripheral conversion of prohormone thyroxine (T4) secreted by the thyroid gland
  • Low thyroid hormone concentrations, in particular low serum T3 concentrations, are a common finding in patients with nonthyroidal illnesses, including cardiac disorders
  • a direct relationship between low circulating levels of T3 and adverse prognosis of cardiac patients
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  • The present study clearly shows the existence of a strong association between the reduction of biologically active T3 and mortality in a large population of cardiac hospitalized patients
  • highly significant increase in the incidence of cardiac and cumulative deaths in patients with low T3 compared with patients with normal T3 levels
  • the relevance of the low T3 state as a strong, independent predictor of mortality in cardiac patients
  • low T3 concentrations are a strong independent predictive marker of poor prognosis in cardiac patients
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    low T3 associated with poor prognosis in cardiac patients.   Poor prognosis = death.  T3 is important in cardiac remodeling, which is inherently important with cardiac disease.
Nathan Goodyear

Incidence of low-triiodothyronine syndrome in patients with septic shock - 0 views

  • In the course of different disease states, the levels of T3, T4, and TSH decrease
  • euthyroid sick syndrome
  • low T3 can contribute to associated organ dysfunction
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  • proportionally associated with disease severity and survival
  • nonthyroidal illness syndrome
  • Patients with persistent deterioration of hormone levels (T3, T4) during the study period had higher mortality than those who normalized the function of the thyroid axis
  • LT3S in patients with septic shock is part of the pathophysiology of this disease and/or an associated organ (endocrine-metabolic) failure and not just an adaptive phenomenon
  • substitution treatment with synthetic thyroid hormones could modify the hemodynamic symptoms of septic patients, contributing in part to the decrease in their morbidity and mortality
    • Nathan Goodyear
       
      Important statement
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    Septic shock and low T3
Nathan Goodyear

Thyroid Hormone Concentrations, Disease, Physical Function, and Mortality in Elderly Me... - 0 views

  • High serum rT3 may result from a decreased peripheral metabolism of thyroid hormones due to the aging process itself and/or disease and may reflect a catabolic state.
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    elevated serum rT3 indicates tissue hypothyroidism; very different than rT3 in the pituitary, where high concentrations accumulate
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