Thyroid Function after Coronary Angiography and Angioplasty
https://doi.org/10.14341/ket20073246-52
Abstract
The issue of this study was the investigation of the frequency of the thyroid functional disorders after administration of the iodine-containing contrast media in patients located in iodine deficient region. 146 patients were examined, before and after the coronary angiography. Initially, the high frequency of the thyroid pathology was discovered (39%). The thyroid functional state and the urinary iodine excretion were estimated before and 1, 3, 6 and 12 months after the study. During 1 month after the coronary angiography several cases of thyrotoxicosis and hypothyroidism relapse were fixed, and also the deterioration of the course of the already present thyroid functional disorders was registered. The patients with the initial pathology and the thyroid functional disorders should be included into the risk group by the development of the iodine induced thyroid dysfunction.
About the Authors
N SviridenkoN Platonova
A Egorov
A Samko
V Naumov
M Ezhov
Y Buziashvili
E Tugeeva
References
1. Roti. E. Iodine excess and hyperthyroidism. The thyroid and enviroment, Merck European thyroid symposium. June 22-25. Budapest, 2000.
2. Беленков Ю.Н., Савченко А.П., Матчин Ю.Г. Современные принципы коронарной ангиографии // Сердце. 2002. Т. 1, № 6 (6). С. 265-268.
3. Kelly M., Golman K.Metabolism of urographic contrast media // Invest. Radiol. 1981. 16. Р. 159-164.
4. Blattmann H., Reinhardt M., Schumichen C., Moser E. Thyrotoxic crisis after exposure to iodine. A case with fatal outcome // Radiologe. 1994. 34. P. 487-490.
5. Kulstad C.E., Carlson A. Contrast-induced thyrotoxicosis // Ann. Emerg. Med. 2004. V. 44. Р. 281-282.
6. Сергеев П.В., Свиридов Н.К., Шимановский Н.Л. Контрастные средства. М.: Медицина, 1993. 256 c.
7. Laurie J.A., Lyon S.G., Lasser E. C. Contrast material iodides: Potential effects on radioactive iodine thyroid uptake // J. Nucl. Med. 1992. 33. Р. 237- 238.
8. Saller B., Fink H., Mann K. Kinetics of acute and chronic iodine excess // Exp. Clin. Endocrinol. Diabetes. 1998. V. 106. P 34-38.
9. Синицын В.Е. Применение ионных рентгеноконтрастных средств в современной лучевой диагностике. Вопросы клинической эффективности безопасности и фармакоэкономики // Медицинская визуализация. 2003. № 1. С. 121-126.
10. Герасимов Г.А., Фадеев В.В., Свириденко Н.Ю. и др. Йододефицитные заболевания в Российской Федерации. Простое решение сложной проблемы. 2002.
11. Moening H., Arendt T., Eggers S. et al. Iodine absorbtion in patiens undergoing ERCP compared with coronary angiography // Gastrointest. Endosc. 1999. V. 50. P. 79-81.
12. Shimura H., Takazawa K., Endo T., Tawata M., Onaya T. T4-thyroid storm after CT-scan with iodinated contrast medium // J. Endocrinol. Invest. 1990. V. 13. P. 73-76.
13. Jaffiol C., Baldet L., Bada M., Vierne Y. The influence on thyroid function of two iodine-containing radiological contrast media // Br. J. Radiol. 1982. V. 55. Р. 263-265.
14. Fricke E., Fricke H., Esdorn E., Kammeier A. et al. Scintigraphy for risk stratification of iodine-induced thyrotoxicosis in patients receiving contrast agent for coronary angiography: a prospective study of patients with low thyrotropin // J. Clin. Endocrinol. Metab. 2004. V. 89(12). P. 6092-6096.
15. Aghini-Lombardi F., Antonangeli L., Martino E. et al. The spectrum of thyroid disorders in an iodine-deficient community: the Pescopagano survey // J. Clin. Endocrinol. Metab. 1999. V. 84, № 2. P.561- 566.
16. Fassbender W.J., Schluter S., Stracke H. et al. Thyroid function after iodine-containing contrast agent administration in coronary angiography: a prospective study of euthyroid patients // Z. Kardiol. 2001. 90(10). Р. 751-759.
17. Hintze G., Blombach O., Flink H. et al. Risk if iodine-induced thyrotoxicosis after coronary angiography: an investigation in 788 unselected subjects // Eur. J. Endocrinol. 1999. 140. Р. 264-267.
18. Carey Daniel, John W., Hurst, Jn., Mark E. Silverman. Coronary spasm and cardiac arrest after coronary arteriography in unsuspected thyrotoxicosis // The American journal of cardiology. 1992. V. 70. P. 833-834.
19. Van der Molen A.J., Thomsen H.S., Morcos S.K. Effect of iodinated contrast media on thyroid function in adults // Eur. Radiol. 2004. V. 14(5). P. 902-907.
20. Nolte, Mueller R., Siggelkow H., Emrich D., Hoefner M. Prophylactic application of thyrostatic drugs during excessive iodine exposure in euthyroid patients with thyroid autonomy: a randomized study // Eur. J. Endocrinol. 1996. 134. Р. 337-341.
21. Fritzsche H., Benzer W., Furlan W. еt al. Prevention of iodine-induced hyperthyroidism after coronary angiography // Acta. Med. Austriaca. 1993. V.20(1-2). P. 13-17.
22. Чазов Е.И., Мухарлямов Н.М. Кардиомиопатии. Болезни сердца и сосудов / Под редакцией Е.И. Чазова. М.: Медицина, 1992. Т 2. С. 199-250.
Review
For citations:
, , , , , , , Thyroid Function after Coronary Angiography and Angioplasty. Clinical and experimental thyroidology. 2007;3(2):46-52. (In Russ.) https://doi.org/10.14341/ket20073246-52
Views:
461
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0).
Email this article 
