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People
who have an underactive or overactive thyroid without
symptoms appear to have a modestly increased risk of heart
disease. The data suggest that silent or "subclinical"
thyroid dysfunction "might represent a potentially
modifiable -- albeit modest -- risk factor for coronary
heart disease and mortality, said the researchers from the
University of Lausanne in Switzerland. Their findings are
based on pooled data from 12 studies identified through a
search of MEDLINE (1950 to 2008). Ten of the studies
involved population-based groups that included 14,449
subjects. All of the population-based studies examined the
impact of subclinical hypothyroidism on heart disease and
mortality, whereas only five looked at the effect of
subclinical hyperthyroidism, the report indicates. The
likelihood of coronary heart disease, heart-related death,
and death from any cause was higher by 20 percent, 18
percent, and 12 percent, respectively, in subjects with an
underactive thyroid without symptoms -- also referred to as
subclinical hypothyroidism. People with an overactive
thyroid but without symptoms (i.e., silent hyperthyroidism)
had a 21 percent, 19 percent, and 12 percent greater odd,
respectively, of heart disease, heart-related death, and
death from any cause. The researchers said that studies are
needed to determine the impact of treating these two
conditions on heart disease risk.
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