DOI: 10.36347/sjams.2021.v09i04.001

Pages: 500-505

Background: The cardiovascular symptoms of thyroid disease are some of the most penetrating and clinically pertinent findings of hypothyroidism. For coronary artery disease, hypothyroidism is a risk factor. However, a limited study conducted in our country to identifying cardiovascular manifestations of hypothyroid disorder. Aim of the study: The aim of the study was to address the clinical sign and symptoms of the hypothyroid disorder in Bangladesh. Materials and Methods: It was a descriptive cross-sectional study. The study was done in the Department of Medicine, Sir Salimulah Medical College & Mitford Hospital, Dhaka from September 2017 to February 2018. A total of 70 patients were selected for the study. Statistical data were analyzed by SPSS 20.0 version. Results: The age of the patients with hypothyroidism ranged from 16-65 years. The mean age was 37.31±13.70 years. In hypothyroid cases, the male and female ratio was 1:4.83. The commonest general symptom of hypothyroid cases in the present study was found to be weight gain 75.71% followed by fatigue 60%, hoarseness of voice 51.42%, and cold intolerance 50%, and goiter 10%. The commonest cardiovascular symptom of hypothyroid was found to be chest pain 32.85%, followed by dyspnoea 30%, ankle swelling 21%. Clinical examination of the cardiovascular system of hypothyroid cases revealed diminished heart sound in 31.42% of patients, 30% of patients had bradycardia, diastolic hypertension was found in 22.85% cases and 21% of patients presented with pedal oedema. In the present study, the commonest EGG finding of hypothyroid patients was found to be sinus bradycardia 40%, followed by low voltage EGG 35.71%, non-specific ST-T 27.14%, RBBB 10%, LBBB 5.71%, and no heart block were found. The commonest abnormal echocardiography findings of hypothyroid patients were pericardial effusion 25.71%, followed by systolic dysfunction 7.1%, IVS thickness 7.1%. Conclusion: According to this study of hypothyroidism was common ......