[Atrial fibrillation and thyroid nodules]

Our previous papers reported an association between atrial fibrillation and supracentimeter thyroid nodules. Recently we noticed that the number of patients admitted to our ward presenting this relationship, was higher than average data relating to whole world's population. In this study we tried to prove the existence of this association in a selected group of inpatients aged between 71 and 80. This to rule-out any age-related confounding factor. We enrolled one hundred inpatients, aged between 71-80. Each patient underwent TSH, FT3, FT4 determination, ECG and thyroid ultrasound examination. 55 males and 45 females: 25 with atrial fibrillation (group A) and 75 without atrial fibrillation (group B). In group A, 80% had supracentimeter thyroid nodules, whereas in group B, only the 6.7% showed supracentimeter thyroid nodules. The rate of supracentimeter thyroid nodules in inpatients without atrial fibrillation (group B) was in line with that found in many studies about whole world's population (4-10%). On the contrary, subjects with atrial fibrillation (group A) showed a rate of supracentimeter thyroid nodules significantly higher (p < 0.001). These findings confirm our previous studies even in more age homogeneous peoples. Moreover, they suggest a link between atrial fibrillation and thyroid nodules. Cytokines and growth factors (IGF-1, EGF, FGF) might act like a connection between nodule goitre and atrial fibrillation.