Thyroid disease

The Role of the Parametric Thyroid Feedback Quantile Index in Cardiovascular Risk Evaluation Among Euthyroid Koreans

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

The PTFQI inversely correlated with cardiovascular risk among euthyroid Koreans, indicating that reduced central sensitivity to thyroid hormone is associated with lower cardiovascular risk. These results underscore the importance of considering population-specific thyroid function parameters in cardiovascular risk assessment.

Study context

Population
Euthyroid Korean adults aged 18 to 80 years without previously diagnosed CVD or thyroid disease, 2013–2015 Korea National Health and Nutrition Examination Survey
Participants
5,160 euthyroid adults
Exposure
PTFQI quartiles
Outcome
Cardiovascular risk by PREVENT and pooled cohort equations scores
Methodological detailsnationally representative survey (KNHANES 2013–2015)
  • Nationally representative survey (KNHANES 2013–2015)

Main finding

As reported in the abstract

Cardiovascular risk per higher PTFQI quartile
CVD, aOR
−0.55 (95% CI −.92 to −.18)
Atherosclerotic CVD, aOR
−0.31 (95% CI −.53 to −.08)
HF, aOR
−0.26 (95% CI −.47 to −.05)
Coronary heart disease, aOR
−0.15 (95% CI −.28 to −.02)
Ischemic stroke, aOR
−0.18 (95% CI −.30 to −.06)

Observational data: associations, not effects.

Further findings

Agreement of risk scores

Pooled cohort equations score strongly correlated with PREVENT score

Original publication

The Role of the Parametric Thyroid Feedback Quantile Index in Cardiovascular Risk Evaluation Among Euthyroid Koreans. J Clin Endocrinol Metab. Published 22 January 2025. doi:10.1210/clinem/dgaf046

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