Association of Iatrogenic Hypothyroidism With Azotemia and Reduced Survival Time in Cats Treated for Hyperthyroidism

Authors: Jonathan ElliottHarriet M SymeTim L Williams
Year: 2010
Times cited: 73

Key People For Iatrogenic Hypothyroidism

Top KOLs in the world
Jonathan *******
chronic kidney disease hyperthyroid cats renal function
Harriet * ****
hyperthyroid cats chronic kidney disease renal function
David * ******
primary veterinary united kingdom urinary incontinence
Reto ******
gastric emptying breath test healthy dogs
Amanda * ****
companion animals southern england angiostrongylus vasorum
Kim * *******
great britain habitat suitability wound volume

Association of Iatrogenic Hypothyroidism with Azotemia and Reduced Survival Time in Cats Treated for Hyperthyroidism


BACKGROUND: Iatrogenic hypothyroidism can occur after treatment of hyperthyroidism, and is correlated with a reduced glomerular filtration rate in humans and dogs.

HYPOTHESIS: Cats with iatrogenic hypothyroidism after treatment for hyperthyroidism will have a greater incidence of azotemia than euthyroid cats.

ANIMALS: Eighty client owned cats with hyperthyroidism.

METHODS: Two retrospective studies. (1) Longitudinal study of 12 hyperthyroid cats treated with radioiodine (documented as euthyroid after treatment), to assess changes in plasma thyroid stimulating hormone (TSH) concentration over a 6-month follow-up period, (2) Cross-sectional study of 75 hyperthyroid cats (documented as euthyroid) 6 months after commencement of treatment for hyperthyroidism to identify the relationship between thyroid status and the development of azotemia. Kaplan-Meier survival analysis was performed to identify relationships between thyroid and renal status and survival.

RESULTS: Plasma TSH concentrations were not suppressed in 7 of 8 cats with hypothyroidism 3 months after radioiodine treatment. The proportion of cats with azotemia was significantly (P= .028) greater in the hypothyroid (16 of 28) than the euthyroid group (14 of 47). Twenty-eight of 41 cats (68%) with plasma TT4 concentration below the laboratory reference range had an increased plasma TSH concentration. Hypothyroid cats that developed azotemia within the follow-up period had significantly (P= .018) shorter survival times (median survival time 456 days, range 231-1589 days) than those that remained nonazotemic (median survival time 905 days, range 316-1869 days).

CONCLUSIONS AND CLINICAL IMPORTANCE: Iatrogenic hypothyroidism appears to contribute to the development of azotemia after treatment of hyperthyroidism, and reduced survival time in azotemic cats.

to see all concepts, it's free!