Thyroid Supplementation in Patients with Heart Failure
Vadim Kutsar, Sushmita Ghosh

Abstract
Heart failure is a chronic condition which affects nearly 5.7 million Americans, attributed to costs of up to $37.2 billion, and is mentioned on 1 in 8 death certicifates.1In a clinical study, a correlation between hypothyroidism and coronary disease was shown in 11.5% of patients.2Hypothyroidism is related to heart failure in the way that its characteristics, such as dyslipidemia and hypertension, increase the risk of atherogenesis.3,4 Atherogenesis leads to atherosclerosis and subsequently coronary artery disease, that may further lead to myocardial infarction, which results in systolic dysfunction or decreased contraction. The most common causes of heart failure originate from systolic and diastolic dysfunction.5Signs and symptoms of hypothyroidism include fatigue, dry coarse skin, depression, impaired memory, cold intolerance, tenderness and stiffness, and bradycardia, among other health issues. If left untreated, symptoms can get worse and can even be life-threatening.

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