Subclinical hypothyroidism: treat or watch?
Manifest hypothyroidism occurs in more than 5 % of the population, while prevalence of subclinical hypothyroidism is much higher and reaches 15 %. In the practice of an endocrinologist, in most cases, the diagnosis and treatment of manifest hypothyroidism does not raise questions, while subclinical...
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| Format: | Article |
| Language: | Russian |
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Private institution educational organization of higher education "Medical University "ReaViz"
2021-03-01
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| Series: | Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье |
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| Online Access: | https://vestnik.reaviz.ru/jour/article/view/108 |
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| author | I. A. Tsanava S. V. Bulgakova A. V. Melikova |
| author_facet | I. A. Tsanava S. V. Bulgakova A. V. Melikova |
| author_sort | I. A. Tsanava |
| collection | DOAJ |
| description | Manifest hypothyroidism occurs in more than 5 % of the population, while prevalence of subclinical hypothyroidism is much higher and reaches 15 %. In the practice of an endocrinologist, in most cases, the diagnosis and treatment of manifest hypothyroidism does not raise questions, while subclinical changes in thyroid hormones quite often generate a lot of discussions. The generally accepted reference range for TSH up to 4.50 μIU / ml is in conflict with data showing that more than 95 % of healthy people with euthyroidism have serum TSH levels up to 2.5 μIU / ml. At the same time, a lot of data has been accumulated on the effect of even slightly altered levels of thyroid hormones and TSH on various tissues, organs and systems of the body, especially on the cardiovascular, nervous and reproductive systems. This review analyzes the results of studies aimed at studying the relationship of subclinical hypothyroidism with cardiovascular and metabolic disorders, cognitive disorders, pathology of pregnant women. |
| format | Article |
| id | doaj-art-58af705f37ca4e3ebac5ff935f91b71a |
| institution | Kabale University |
| issn | 2226-762X 2782-1579 |
| language | Russian |
| publishDate | 2021-03-01 |
| publisher | Private institution educational organization of higher education "Medical University "ReaViz" |
| record_format | Article |
| series | Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье |
| spelling | doaj-art-58af705f37ca4e3ebac5ff935f91b71a2025-08-20T03:59:13ZrusPrivate institution educational organization of higher education "Medical University "ReaViz"Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье2226-762X2782-15792021-03-01069810810.20340/vmi-rvz.2020.6.12107Subclinical hypothyroidism: treat or watch?I. A. Tsanava0S. V. Bulgakova1A. V. Melikova2Medical University “Reaviz”Samara State Medical UniversityClinic of Five BlagosManifest hypothyroidism occurs in more than 5 % of the population, while prevalence of subclinical hypothyroidism is much higher and reaches 15 %. In the practice of an endocrinologist, in most cases, the diagnosis and treatment of manifest hypothyroidism does not raise questions, while subclinical changes in thyroid hormones quite often generate a lot of discussions. The generally accepted reference range for TSH up to 4.50 μIU / ml is in conflict with data showing that more than 95 % of healthy people with euthyroidism have serum TSH levels up to 2.5 μIU / ml. At the same time, a lot of data has been accumulated on the effect of even slightly altered levels of thyroid hormones and TSH on various tissues, organs and systems of the body, especially on the cardiovascular, nervous and reproductive systems. This review analyzes the results of studies aimed at studying the relationship of subclinical hypothyroidism with cardiovascular and metabolic disorders, cognitive disorders, pathology of pregnant women.https://vestnik.reaviz.ru/jour/article/view/108hypothyroidismsubclinical hypothyroidismthyroid hormonesthyroid-stimulating hormonelevothyroxine |
| spellingShingle | I. A. Tsanava S. V. Bulgakova A. V. Melikova Subclinical hypothyroidism: treat or watch? Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье hypothyroidism subclinical hypothyroidism thyroid hormones thyroid-stimulating hormone levothyroxine |
| title | Subclinical hypothyroidism: treat or watch? |
| title_full | Subclinical hypothyroidism: treat or watch? |
| title_fullStr | Subclinical hypothyroidism: treat or watch? |
| title_full_unstemmed | Subclinical hypothyroidism: treat or watch? |
| title_short | Subclinical hypothyroidism: treat or watch? |
| title_sort | subclinical hypothyroidism treat or watch |
| topic | hypothyroidism subclinical hypothyroidism thyroid hormones thyroid-stimulating hormone levothyroxine |
| url | https://vestnik.reaviz.ru/jour/article/view/108 |
| work_keys_str_mv | AT iatsanava subclinicalhypothyroidismtreatorwatch AT svbulgakova subclinicalhypothyroidismtreatorwatch AT avmelikova subclinicalhypothyroidismtreatorwatch |