0%) had subclinical hyperthyroidism

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Cheap Christian Louboutin AbstractObjectives To examine the risk of atrial fibrillation in relation to the whole spectrum of thyroid function in a large cohort of patients.Subjects Registry data for 586460 adults who had their thyroid function evaluated for the first time by their general practitioner during 2000 10 and who were without previously recorded thyroid disease or atrial fibrillation.Main outcome measure Poisson regression models used to estimate risk of atrial fibrillation by thyroid function.Results Of the 586460 individuals in the study population (mean (SD) age 50.2 (16.9) years, 39% men) getchristianlouboutin.co.uk, 562461 (96.0%) were euthyroid Cheap Christian Louboutin Sale, 1670 (0.3%) had overt hypothyroidism, 12087 (2.0%) had subclinical hypothyroidism, 3966 (0.7%) had overt hyperthyroidism Cheap Christian Louboutin Shoes, and 6276 (1.0%) had subclinical hyperthyroidism. Compared with the euthyroid individuals Christian Louboutin Shoes Sale, the risk of atrial fibrillation increased with decreasing levels of thyroid stimulating hormone (TSH) from high normal euthyroidism (incidence rate ratio 1.12 (95% CI 1.03 to 1.21)) to subclinical hyperthyroidism with reduced TSH (1.16 (0.99 to 1.36)) and subclinical hyperthyroidism with supressed TSH (1.41 (1.25 to 1.59)). Both overt and subclinical hypothyroidism were associated with a lower risk of atrial fibrillation.Conclusion The risk of atrial fibrillation was closely associated with thyroid activity, with a low risk in overt hypothyroidism, high risk in hyperthyroidism, and a TSH level dependent association with risk of atrial fibrillation across the spectrum of subclinical thyroid disease.IntroductionAtrial fibrillation is a common cardiac arrhythmia and an important risk factor for ischaemic stroke and heart failure Cheap Christian Louboutin.

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