Evaluation and Comparison of Changes in Blood Pressure and ECG After Hormone Therapy in Hypothyroid Patients

Abstract

Background: Hypothyroidism is one of the disorders that is associated with an increased risk of cardiovascular disease. One of the first responses to thyroid hormone administration is to reduce systemic vascular resistance and increase cardiac output and heart contraction. Methods: In this study, which was performed as a quasi-experimental study (before and after), 50 patients were referred to the endocrinology and internal medicine clinic of Towhid Hospital in Sanandaj (in two groups of 25 patients receiving medication and the group that did not receive medication) They were included in the study based on inclusion and exclusion criteria. Blood pressure, heart rate, and ECG were performed by a cardiologist after recording them. Results: The mean age of patients participating in the study was 48.0 ± 7.74 years. Compared the patients receiving the drug and the other group, in terms of sex distribution and age, showed results; There was no statistically significant difference between the two groups (p value > 0.05) However, in terms of comparing blood pressure and heart rate indices in the before and after stages, the two groups showed a statistically significant difference between patients receiving medication and patients who did not receive medication in terms of systolic and diastolic blood pressure in the previous phase of hormone therapy (p value < 0.01). Conclusion: Special attention to hypothyroid patients according to the obtained results, Control, follow-up, and planning for these patients, by those involved in the matter and those responsible for the health sector, seems important and necessary and should be taken into consideration.