[HSF] hypothyroidism

[Mark Levinson]

On Sep 3, 2007, at 9:55 PM, Douville, Chuck wrote:

> I was asked to see a pt today who has amiodarone induced  
> hypothyroidsm. His TSH was 70  and is now down to 20. What TSH  
> level would you all insist on before offering this pt CABG with EF  
> 25% and left main and class $ angina.? My preferecence is to wait,  
> of course until it is normal, but that may not be possible. Any  
> suggestions? thanks chuckdouville

I don't know how long you can wait, but I would try to wait until the  
TSH in normal or nearly normal.   On my last such case, I operated  
when the TSH was just barely above the normal range and she was  
fine.    But I don't like to operate on a patient that is still  
hypothyroid...

IV T3 is available for resuscitating these hearts, but is very  
expensive and not stocked in most institutions.

Mark

Mark M. Levinson, MD
Founder, Editor-in-Chief,
The Heart Surgery Forum
WWW: <http://www.hsforum.com>
Email: <mmLevinson at hsforum.com>