THYROID AND AGE
Diseases connected to thyroid dysfunction are often difficult to detect since their symptoms are generic; such a difficulty increases at 50/60, when some signs can be easily misinterpreted as physiological ageing.
However, we know that thyroid diseases are more and more common among people over 50, and especially over 60, in their different forms: hypo and hyperthyroidism, in particular in their subclinical pathologies, rather than in their overt ones. Then there are thyroiditis, goiter, nodules.
In these cases, the endocrinologist and the cardiologist should work together to outline appropriate therapy for the joint diseases, in order to “rectify” it slowly to prevent side effects.
Heart and bones
It is important to underline that TSH increases physiologically with age, therefore values shift to TSH> 10.0 mUI/L, if not associated with symptoms.
As for hypothyroidism, thyroid lower activity causes a slowdown in cardiac activity. Therefore, subclinical or asymptomatic hypothyroidism is a condition where the patient suffering from atrial fibrillation can benefit from.
Hyperthyroidism involves heart fatigue and is much more problematic when associated with a cardiac pathology. In these patients, cardiovascular symptoms largely contribute to the clinical picture.
In the absence of concomitant heart diseases, hyperthyroidism treatment involves remission of cardiovascular disorders.
Osteoporosis is another problem related to age: a lower absorption of calcium causes a higher brittleness of bone structure. Such a condition, together with bone loss caused by hyperthyroidism, increases the risk of fractures.
Menopause women suffer the most. Their clinical picture worsens by the failed protective effect on bones mediated by estrogens.