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Main Article Content
Patterns of blood pressure and pulse pressure in patients with thyroid disorder in a Tertiary Health Center in South West Nigeria
Abstract
Background: Thyroid disorders rank second among the diversity of endocrine diseases. Thyroid impairments have been implicated as a potential risk factor for blood pressure and pulse pressure disorders, with potential risk factors for future cardiovascular events. This study aims to determine the pattern of blood pressure and pulse pressure in patients with thyroid disorders.
Methodology: This is a retrospective descriptive study conducted in an endocrinology outpatient clinic. One hundred subjects who satisfied the inclusion criteria were recruited consecutively. Data analysis was done using Microsoft Excel and the statistical package for social sciences (SPSS version23). Ap-value <0.05 was considered statistically significant for all analyses.
Result: The average age of the subjects was 45.8 ± 15.1. The female to male ratio in the study was 9:1.Hypertensive patients were 37%, whereas 65% presented with hyperthyroidism, 21% hypothyroidism, 9% euthyroidism, 3% subclinical hyperthyroidism, and 2% subclinical hypothyroidism. The largest majority 62(62.0%) of the subjects had high pulse pressure (> 50mmhg)), among those who had high pulse pressure, 1(1.6%) had subclinical hypothyroidism, 2(3.2%) had subclinical hyperthyroidism. 2(3.2%) presented with euthyroidism, 14(22.6%) had hypothyroidism, and, 43(69.4) had hyperthyroidism. Overall percentage percentage of autoimmune disorders in patients with thyroid dysfunction was 30%. There was a significant association between thyroid disorders and autoimmune disorders.
Conclusion: The study revealed that thyroid disorders are highly prevalent among Yoruba, South-Western Nigeria with preponderance of female occurrence. Hypertension and increased pulse pressure were associated with hyperthyroidism and autoimmune diseases while low, normal BP and pulse pressure were associated with subjects with hypothyroidism, though not statistically significant.
French title: Schémas de tension artérielle et de pression différentielle chez les patients atteints de troubles thyroïdiens dans un centre de santé tertiaire du sud-ouest du Nigéria
Contexte de l'étude : Les troubles thyroïdiens occupent la deuxième place parmi la diversité des maladies endocriniennes. Les troubles thyroïdiens ont été impliqués comme un facteur de risque potentiel de troubles de la pression artérielle et de la pression différentielle, avec des facteurs de risque potentiels d'événements cardiovasculaires futurs. Cette étude vise à déterminer le profil de la pression artérielle et de la pression différentielle chez les patients atteints de troubles thyroïdiens.
Méthode de l'étude : Il s'agit d'une étude rétrospective descriptive réalisée dans une consultation externe d'endocrinologie. Cent sujets répondant aux critères d'inclusion ont été recrutés consécutivement. L'analyse des données a été réalisée à l'aide de Microsoft Excel et du logiciel statistique pour les sciences sociales (SPSS version 23). Une valeur de p < 0,05 a été considérée comme statistiquement significative pour toutes les analyses.
Résultat de l'étude : L'âge moyen des sujets était de 45,8 ± 15,1. Le ratio femme/homme dans l'étude était de 9 :1. Les patients hypertendus étaient au nombre de 37 %, tandis que 65 % présentaient une hyperthyroïdie, 21 % une hypothyroïdie, 9% une euthyroïdie, 3 % une affection subclinique Français hyperthyroïdie et 2 % hypothyroïdie subclinique. La plus grande majorité 62 (62,0 %) des sujets avaient une pression différentielle élevée (> 50 mmhg)), parmi ceux qui avaient une pression différentielle élevée, 1 (1,6 %) souffrait d'hypothyroïdie subclinique, 2 (3,2 %) souffraient d'hyperthyroïdie subclinique. 2 (3,2 %) présentaient une euthyroïdie, 14 (22,6 %) souffraient d'hypothyroïdie et 43 (69,4) souffraient d'hyperthyroïdie. Le pourcentage global de troubles auto-immuns chez les patients atteints de dysfonctionnement thyroïdien était de 30 %. Il y avait une association significative entre les troubles thyroïdiens et les troubles auto-immuns.
Conclusion : L'étude a révélé que les troubles thyroïdiens sont très répandus chez les Yorubas du sud-ouest du Nigéria, avec une prépondérance de cas chez les femmes. L'hypertension et l'augmentation de la pression différentielle étaient associées à l'hyperthyroïdie et aux maladies auto-immunes, tandis qu'une pression artérielle basse et normale et une pression différentielle étaient associées à des sujets souffrant d'hypothyroïdie, bien que cela ne soit pas statistiquement significatif.
