What is the heart rate for Hashimoto's thyroiditis?

Written by Chen Xie
Endocrinology
Updated on September 05, 2024
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Hashimoto's thyroiditis is an autoimmune thyroid disease. The course of the disease can include hyperthyroidism, euthyroidism, and hypothyroidism. When Hashimoto's thyroiditis is at different stages of thyroid function, the changes in heart rate are also inconsistent. When Hashimoto's thyroiditis coincides with hyperthyroidism, the heart rate may be fast, even exceeding 100bpm. When Hashimoto's thyroiditis coincides with normal thyroid function, the heart rate may be within the normal range, around 60bpm to 100bpm. When Hashimoto's thyroiditis coincides with hypothyroidism, the heart rate may slow down, possibly dropping below 60bpm. Therefore, in Hashimoto's thyroiditis, as the thyroid function varies, so does the heart rate.

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Written by Li Hui Zhi
Endocrinology
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Can Hashimoto's thyroiditis heal itself?

Hashimoto's thyroiditis is an autoimmune disease that varies in severity. If a patient merely has elevated antibodies but normal thyroid function, there is no need for treatment; regular thyroid function monitoring is sufficient. If a patient has Hashimoto's thyroiditis combined with reduced thyroid function, they should visit an endocrinology specialist and timely supplement thyroid hormones. Therefore, it cannot be categorically stated whether it can be cured or not; it depends on the severity of the condition. Some patients, if their thyroid function is normal, need only monitor their thyroid function.

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Is Hashimoto's thyroiditis severe?

Hashimoto's thyroiditis, also known as chronic lymphocytic thyroiditis, is a common type of autoimmune thyroid disease. Hashimoto's thyroiditis is the most common cause of hypothyroidism. If hypothyroidism caused by Hashimoto's thyroiditis is identified, long-term administration of levothyroxine can achieve good control. It is worth noting that the clinical manifestations of Hashimoto's thyroiditis are often atypical, or may coexist with other thyroid diseases, or other autoimmune diseases. Special attention needs to be paid to certain types of Hashimoto's thyroiditis. One such type is Hashitoxicosis, Hashimoto's pseudohyperthyroidism, or Hashimoto's thyroiditis accompanied by thyroid tumors, Hashimoto's encephalopathy, or Hashimoto's with proptosis. These special types require particular attention.

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Written by Chen Xie
Endocrinology
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What kind of salt should be consumed for Hashimoto's thyroiditis?

Hashimoto's thyroiditis is a type of autoimmune thyroiditis that can manifest as hyperthyroidism, hypothyroidism, or normal thyroid function during its progression. Therefore, there are different requirements for the type of salt to consume depending on the state of thyroid function. When Hashimoto's thyroiditis presents with hyperthyroidism, it is recommended to consume non-iodized salt. When thyroid function is normal in Hashimoto's thyroiditis, iodized salt can be consumed. When Hashimoto's thyroiditis is accompanied by hypothyroidism, there is no specific requirement for consuming iodized or non-iodized salt. Because at this stage, the thyroid has largely lost its ability to synthesize thyroid hormones, and treatment involves replacing them with levothyroxine to maintain thyroid function. Therefore, the intake of iodine does not matter, and one can freely choose to consume iodized or non-iodized salt. Thus, the choice of salt in Hashimoto's thyroiditis should be based on thyroid function testing.

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Ultrasonic manifestations of Hashimoto's thyroiditis

Under ultrasound observation, Hashimoto's thyroiditis generally presents as a diffuse enlargement of the thyroid, often symmetrically, although there are cases of unilateral enlargement as well. Additionally, the surface of the thyroid appears irregular and nodular. The ultrasound often reveals uneven echogenicity in the gland, sometimes with nodular changes and unclear boundaries. However, the ultrasonographic characteristics of Hashimoto's thyroiditis are not particularly specific unless it's a typical case of the disease, which can be roughly diagnosed via ultrasound. For atypical or early cases of Hashimoto's thyroiditis, diagnosis typically requires thyroid function tests, known as the "thyroid function six-item test," which remains the gold standard for diagnosing Hashimoto's thyroiditis.

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Does Hashimoto's thyroiditis cause a sore throat?

Hashimoto's thyroiditis does not cause a sore throat; the type of thyroiditis that primarily causes a sore throat is subacute thyroiditis. Subacute thyroiditis is a viral infection and is a self-limiting disease. Its main clinical manifestations include sore throat, thyroid enlargement, as well as accompanying fever and elevated erythrocyte sedimentation rate. Meanwhile, Hashimoto's thyroiditis is an autoimmune disease, whose most common clinical manifestation is painless thyroid enlargement, progressing to hypothyroidism in later stages. Additionally, it involves thyroid antibodies, especially positive TPO antibodies. Because the treatments for each are different, it is important to note that Hashimoto's thyroiditis does not cause a sore throat.