Thyroid disease

Subclinical Hypothyroidism as an Independent Predictor of Cardiovascular Prognosis in Left Ventricular Thrombus Patients

J Clin Endocrinol MetabPublished Retrospective cohort study

Main finding · MACCEsResult — go to the resultHazard ratio 1.774 95% CI 1.053–2.989

Authors' conclusion

Subclinical hypothyroidism can be used as an independent predictor of MACCEs in patients with LVT, and there is a clinical value in using subclinical hypothyroidism as an important factor suggesting a poor prognosis in patients with LVT.

Study context

Population
Patients diagnosed with left ventricular thrombus (LVT) at Fuwai Hospital over the past 10 years
Exposure
Subclinical hypothyroidism or subclinical hyperthyroidism vs normal thyroid function
Outcome
Major adverse cardiovascular and cerebrovascular events (MACCEs)
Methodological detailssingle-centre, multivariate Cox proportional hazards models
  • Single-centre
  • Multivariate Cox proportional hazards models

Main finding

MACCEs

Hazard ratio

1.774

95% CI 1.053–2.989

P = 0.031

SCH
HR 1.774 (95% CI 1.053–2.989); P = 0.031

As reported in the abstract

Observational data: associations, not effects.

Further findings

Cardiovascular death

HR (95% CI)P value
SCH1.986 (1.110–3.553)P = 0.021

Prediction of major adverse cardiovascular and cerebrovascular events (MACCEs) including thyroid function

AUC for 1 year
0.715
AUC for 2 years
0.745
AUC for 3 years
0.684

Original publication

Subclinical Hypothyroidism as an Independent Predictor of Cardiovascular Prognosis in Left Ventricular Thrombus Patients. J Clin Endocrinol Metab. Published 11 November 2024. doi:10.1210/clinem/dgae793

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