Sych Iu P, Kalatnikov V Iu, Syrkin A L, Mel'nichenko G A
Klin Med (Mosk). 2003;81(11):4-9.
Subclinical hypothyroidism (SH) is the most frequent thyroid disease, but administration of replacement L-thyroxin in it is not obvious. SH may present both with general nonspecific symptoms and disturbance of lipid metabolism, myocardial dysfunction. Many physicians think it valid to restore euthyroid condition, as it may improve general condition of the patients, diastolic and systolic myocardial function, prognosis in ischemic heart disease. However, there are no definite indications to starting L-thyroxin in SH.
亚临床甲状腺功能减退症(SH)是最常见的甲状腺疾病,但给予左甲状腺素替代治疗的效果并不明显。SH可能同时伴有全身非特异性症状以及脂质代谢紊乱、心肌功能障碍。许多医生认为恢复甲状腺功能正常状态是有必要的,因为这可能会改善患者的总体状况、舒张和收缩期心肌功能以及缺血性心脏病的预后。然而,对于SH患者开始使用左甲状腺素治疗并没有明确的指征。