Overview
Postoperative hypothyroidism can occur after thyroid surgery, particularly in the context of thyroid cancer treatment. Management often involves thyroid-stimulating hormone (TSH) suppression therapy.Diagnosis
Management
TSH suppression therapy is used in patients after thyroid cancer surgery 1.Special Populations
Key Recommendations
TSH suppression therapy after thyroid cancer surgery increases the risk of atrial fibrillation 1.
TSH suppression therapy after thyroid cancer surgery is associated with higher heart rate, systolic blood pressure, and diastolic blood pressure compared to controls 1.
TSH suppression therapy after thyroid cancer surgery does not appear to significantly affect ejection fraction or left ventricular end-diastolic diameter 1.References
1 Yang X, Guo N, Gao X, Liang J, Fan X, Zhao Y. Meta-analysis of TSH suppression therapy and the risk of cardiovascular events after thyroid cancer surgery. Frontiers in endocrinology 2022. link