The roles of thyroidectomy in patients with amiodarone-induced thyrotoxicosis: A systematic review

Wynne Widiarti, Pandit Bagus Tri Saputra, Ali Mustofa, Estya Nadya Meitavany, Yudi Her Oktaviono, Firas Farisi Alkaff

Research output: Contribution to journalReview articlepeer-review

Abstract

The principal management of Amiodarone-induced-thyrotoxicosis (AIT) is balancing cardiac-thyroid conditions. However, the role of thyroidectomy is still contentious. This systematic review aims to provide insights into the roles of thyroidectomy in the management of AIT. This systematic review encompasses 303 AIT patients who underwent thyroidectomy from 14 studies. The indication of thyroidectomy can be due to cardiac factors, thyrotoxicosis conditions, and patient-physician considerations. Thyroidectomy is more effective in improving thyroid hormone status, cardiac function, and mortality compared to optimal medical therapy, especially in those with left ventricular ejection fraction < 40 %. Thyroidectomy is effective in improving cardiac function and mortality due to shorter duration for achieving euthyroid. Thyroidectomy and medical therapy have comparable side effects. However, the identification of high-risk patients may reduce thyroidectomy complications. Thus, thyroidectomy should not be viewed as the last resource and should be performed immediately when indicated.

Original languageEnglish
Article number102395
JournalCurrent Problems in Cardiology
Volume49
Issue number3
DOIs
Publication statusPublished - Mar 2024

Keywords

  • Amiodarone
  • Cardiovascular disease
  • Side effect
  • Thyroidectomy
  • Thyrotoxicosis

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