I am taking amiodarone and my TSH is now elevated but I feel fine. Do I have to take thyroid hormone?
For most patients with heart disease, it is prudent to normalize thyroid function. As hypothyroidism may affect heart muscle function and drug metabolism (for such drugs as coumadin, the blood thinner), it seems reasonable to optimize thyroid status if it is safe to do so. If the patient has unstable angina and coronary artery disease, then the risks and benefits of gradual thyroid hormone replacement should be discussed with your physician.
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