Biography
Biography: Ashish K Saxena
Abstract
Thyroid diseases, both hyperthyroid and hypothyroid have significant profound and clinically relevant findings on the heart that gives rise to various signs and symptoms of cardiovascular disease. There needs to be an understanding of the action of this hormone on the cardiovascular system and it is possible to explain the changes in the cardiac output, contractility, rhythm changes, blood pressure and vascular resistance. Echocardiography is an emerging scientific application that gives a better assay of the cardiovascular haemodynamics and its reversibility on subsequent follow up of patients. Pericardial effusion, heart failure, dyslipidaemia and the complex interrelationship between hypothyroidism and ischemic heart disease can be well established on echocardiography. Primary pulmonary hypertension a progressive disease leading to right heart failure and premature death is often of unknown origin. Recently, a link to the thyroid disease has been identified and this disease can be kept among one of the differential diagnosis. Diastolic dysfunction and mitral valve prolapse, enlargement of left atrium and atrial fibrillation leading to congestive heart failure can be easily demonstrated by echocardiography. The clinical correlation of the thyroid hormone with the EKG and echocardiography helps to attain a better level of understanding the prognosis of the disease as well as a guide to the morbidity and mortality associated with the disease.
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