Year : 2017 | Volume
: 12 | Issue : 3 | Page : 204--208
Pulmonary consequences of hypothyroidism
Samiaa Hamdy Sadek1, Walaa Anwar Khalifa2, Ahmad Metwally Azoz1
1 Department of Chest, Faculty of Medicine, Assiut University Hospital, Assuit, Egypt
2 Department of Internal Medicine and Endocrinology, Assiut University Hospital, Assuit, Egypt
Background: Although hypothyroidism has an insidious onset and relatively asymptomatic, exertional dyspnea and fatigue can be the presenting complaints.
Objectives: The aim is to assess functional lung impairment in hypothyroid patients both at rest and during exercise.
Methods: A case-control study was carried out on 42 patients with newly diagnosed hypothyroidism and 12 control subjects. Hypothyroidism was diagnosed based on high value of thyroid stimulating hormone (TSH) ≥6 μIU/ml, and low value of free thyroxin (FT4) ≤0.8 ng/dl, both groups had chest X-ray, spirometry, diffusing capacity of the lungs for carbon monoxide (DLCO), arterial blood gases (ABGs) and symptom-limited exercise testing using treadmill.
Results: Both groups were comparable as regard age, sex, and body mass index. Although ABG and spirometry were within normal in both groups, forced vital capacity %, and forced expiratory flow (FEF25–75) % were significantly reduced in the hypothyroid group (P = 0.014, 0.000, respectively), DLCO significantly reduced in hypothyroidism (P = 0.005). As regard exercise testing parameters, maximum oxygen consumption %, minute ventilation, tidal volume, and oxygen pulse were significantly reduced in hypothyroidism (0.005, 0.000, 0.000, and 0.02 respectively). TSH significantly negatively correlated with forced expiratory volume in 1 s %, FEF25–75%, and DLCO while they significantly positively correlated with FT4.
Conclusion: Even with the presence of normal chest X-ray, arterial blood gases, and spirometry in patients with hypothyroidism DLCO and exercise testing parameters can be significantly reduced.
Samiaa Hamdy Sadek
Assiut University Hospital, Assiut University, Assuit 71111
|How to cite this article:|
Sadek SH, Khalifa WA, Azoz AM. Pulmonary consequences of hypothyroidism.Ann Thorac Med 2017;12:204-208
|How to cite this URL:|
Sadek SH, Khalifa WA, Azoz AM. Pulmonary consequences of hypothyroidism. Ann Thorac Med [serial online] 2017 [cited 2020 Sep 27 ];12:204-208
Available from: http://www.thoracicmedicine.org/article.asp?issn=1817-1737;year=2017;volume=12;issue=3;spage=204;epage=208;aulast=Sadek;type=0