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Related Experiment Videos

Amiodarone-induced thyroid dysfunction.

Ian Louis Ross1, David Marshall, Andrzej Okreglicki

  • 1Division of Endocrinology, Groote Schuur Hospital and University of Cape Town. iross@uctgsh1.uct.ac.za

South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
|April 19, 2005
PubMed
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Amiodarone therapy is linked to a high incidence of thyroid dysfunction (TD) in South Africa, with over 27% of patients developing new TD. Further research into local factors is needed.

Area of Science:

  • Cardiology
  • Endocrinology
  • Pharmacology

Background:

  • Thyroid dysfunction (TD) frequency associated with amiodarone therapy in southern Africa is largely unknown.
  • Amiodarone is an effective antiarrhythmic drug but carries a risk of thyroid dysfunction.
  • Southern Africa is considered an iodine-replete area, potentially influencing TD rates.

Purpose of the Study:

  • To determine the incidence of new-onset thyroid dysfunction in patients receiving amiodarone.
  • To assess TD rates in a South African cohort at a cardiac clinic.
  • To compare TD incidence in an iodine-replete region with international data.

Main Methods:

  • Retrospective cohort study using pharmacy records from November 1999 to December 2002.
  • Identified 194 patients receiving amiodarone, with 163 included in the final analysis.

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  • Collected data on patient demographics, indications for amiodarone, duration of therapy, and thyroid function outcomes.
  • Main Results:

    • A high incidence of new TD (27.6%) was observed in 163 patients.
    • Thyrotoxicosis (11 patients, 6.7%) and hypothyroidism (12 patients, 7.4%) were the most common forms of TD.
    • The median duration of amiodarone therapy until new TD diagnosis was significantly longer (943 days) compared to euthyroid patients (547 days).

    Conclusions:

    • The incidence of amiodarone-induced thyroid dysfunction in this South African cohort is high, comparable to international rates.
    • Local factors, potentially including iodine intake, may contribute to the observed TD rates and warrant further investigation.
    • These findings highlight the importance of monitoring thyroid function in patients on amiodarone therapy in this region.