ما هو علاج قصور الغدة الدرقية الأولي مع مرض القلب الإقفاري أو لدى المرضى فوق سن 60؟

References

Patients older than 60 years or with known or suspected ischemic heart disease should start at a lower dosage of levothyroxine (12.5 to 50 mcg per day).

For older patients or those with coronary artery disease, levothyroxine therapy should be started at 25 to 50 mcg per day, with titration of 25 mcg every three to four weeks until a target dosage is achieved to decrease the potential for adverse effects from thyroid excess (e.g., atrial fibrillation, dysrhythmia, angina, osteoporosis).

In newly diagnosed patients with hypothyroidism who are older than 60 years or with known or suspected ischemic heart disease, levothyroxine therapy should be initiated at 12.5 to 50 mcg per day.

Increase dosage by 25 mcg every three to four weeks until TSH is in normal range.

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