Beta-Blocker Therapy on Blood Pressure in Subclinical Hyperthyroidism: A Retrospective Observational Study

Yıl 2023, Cilt: 12 Sayı: 3, 895 - 901, 26.09.2023

Aşkın Keskin Kaplan , Yılmaz Sezgin

https://doi.org/10.37989/gumussagbil.1324955

Öz

This study aimed to investigate the effect of beta-blocker therapy on blood pressure in patients with subclinical hyperthyroidism and to elucidate the potential benefits of this treatment approach.
This retrospective observational cohort study included 56 hypertensive patients with subclinical hyperthyroidism who received beta-blocker therapy. Patient data, including demographic characteristics, thyroid function tests, and blood pressure measurements, were collected from medical records and evaluated using statistical analysis with SPSS Statistics software.
The cohort of hypertensive patients included 35 patients with uncontrolled blood pressure and 21 newly diagnosed patients, with a total average age of 55 and 73.2% of them being female. In newly diagnosed and uncontrolled hypertensive patients, TSH levels were below the average, and T3 levels were high (p<0.001). Significant reductions in systolic and diastolic blood pressure were observed in both groups after beta-blocker therapy (p<0.001). The most significant decrease in blood pressure in beta-blocker therapy occurred in newly diagnosed hypertensive patients, with an average decrease of 37.85 mmHg. Additionally, a significant reduction in the number of antihypertensive medications was observed in patients receiving beta-blocker therapy (p<0.001).
In conclusion, our study demonstrates the positive effects of beta-blocker therapy on blood pressure control in patients with subclinical hyperthyroidism. Particularly, the significant decrease in blood pressure in newly diagnosed hypertensive patients indicates the potential of beta-blockers as a preferred treatment option. This study highlights the necessity of a causal approach in treating hypertension with thyroid disorders. However, considering the limitations of the study design, further comprehensive research is needed to confirm these findings.

Anahtar Kelimeler

Beta-blockers, Blood pressure, Hypertension, Subclinical hyperthyroidism, Thyroid function tests.

Destekleyen Kurum

none

Subklinik Hipertiroidizmde Beta-Bloker Tedavisinin Kan Basıncına Etkisi: Retrospektif Bir Gözlemsel Çalışma

Öz

Bu çalışma, subklinik hipertiroidizmi olan hastalarda beta-bloker tedavisinin kan basıncı üzerindeki etkisini araştırmayı ve bu tedavi yaklaşımının potansiyel faydalarını ortaya koymayı amaçlamıştır.
Bu retrospektif gözlemsel kohort çalışmaya subklinik hipertiroidizmi olan ve beta-bloker tedavisi alan 56 hipertansif hasta dahil edildi. Hastaların demografik özellikleri, tiroid fonksiyon testleri ve kan basıncı ölçümlerini içeren hasta verileri, tıbbi hasta kayıtlarından toplanarak SPSS Statistics yazılımı kullanılarak istatistiksel analizle değerlendirildi.
Çalışmaya dahil edilen kan basıncı kontrol altında olmayan 35 ve yeni teşhis konmuş 21, toplam 56 hipertansif hastanın kohortunda ortalama yaş 55 ve %73,2 si kadınlar hastalardan oluşmaktaydı. Yeni teşhis edilen ve kan basıncı kontrol altında olmayan hipertansif hastalarda, TSH düzeylerinin ortalamanın altında olduğu ve T3 düzeylerinin ise yüksek olduğu görüldü (p<0,001). Her iki grupta da beta-bloker tedavisi sonrasında sistolik ve diyastolik kan basıncında anlamlı düşüşler gözlenmiştir (p<0,001). Beta-bloker tedavisinde en büyük kan basıncı düşüşü, yeni teşhis edilen hipertansiyonlu hastalarda ortalama 37,85 mmHg azalma olarak ortaya çıkmıştır. Ek olarak, beta bloker tedavisi alan hastalarda antihipertansif ilaç kullanımı sayısında anlamlı azalma görülmüştür (p<0,001).
Sonuç olarak çalışmamızda, beta-bloker tedavisinin subklinik hipertiroidizmli hastalarda kan basıncı kontrolüne olumlu etkileri olduğunu gösterilmektedir. Özellikle yeni tanılı hipertansiyonlu hastalarda belirgin kan basıncı azalması, beta-blokerlerin tercih edilen bir tedavi seçeneği olarak potansiyelini göstermektedir. Bu çalışma, tiroid bozuklukları ile ilişkili hipertansiyon tedavisinde nedene yönelik bir yaklaşımın gerekliliğini vurgulamaktadır. Bununla birlikte, çalışmanın tasarım kısıtlamaları göz önüne alındığında, bu bulguların doğrulanması için daha kapsamlı araştırmalara ihtiyaç duyulmaktadır.

Anahtar Kelimeler

Beta-bloker, Hipertansiyon, Kan basıncı, Subklinik hipertroidi, Tiroid fonksiyon testleri

Kaynakça

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