Long-term prognosis of severe tricuspide regurgitation induced by hypothroidism

• Published in: Archives of Cardiovascular Diseases Supplements Vol. 15; no. 1; p. 83
• Main Authors: Chamtouri, I., Ben Abdallah, A., Amdouni, N., Jomaa, W., Ben Hamda, K.
• Format: Journal Article
• Language: English
• Published: Elsevier Masson SAS 01.01.2023
• ISSN: 1878-6480
• DOI: 10.1016/j.acvdsp.2022.10.157

Hypothyroidism is associated with multiple heart diseases such as tricuspid regurgitation (TR). We aimed to investigate in the prognosis of TR induced by hypothyroidism. We conducted a cohort study included all patients with severe primary TR. Long-term prognosis of TR induced by hypothyroidism was compared to the prognosis of other severe primary TR causes. Among 43 patients with severe primary TR, 19 patients presented hypothroism considered as the only cause of severe TR. Thirteen females patients had hypothyroidism. Hypothyroidism was associated with significantly higher renal failure with no difference in hypertension, diabetes and atrial fibrillation or flutter. At two-years evaluation, there were a significantly higher prevalence rehospitalization and mortality in patients with hypothyroidisme despite the treatment of hypothroidism (Table 1). Despite adequate hypothroidism treatment, severe TR induced by hypothyroidism had a long-term poor prognosis.