Can long-term bisoprolol therapy trigger hypothyroidism?

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ID: 311515
2024
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Abstract
Bisoprolol is a selective beta1-blocker medication utilized for the management of hypertension, congestive heart failure, and chronic stable angina. Its administration is associated with a reduction in morbidity and mortality following myocardial infarction, as well as a decreased risk of stroke and coronary artery disease in individuals with heart conditions. 1,2 Bisoprolol, along with other selective Beta1-blockers, can lead to negative impacts on the heart’s contractions and rate. As a result, bisoprolol diminishes the oxygen demand of myocardial cells, alleviating the workload on the heart and subsequently contributing to a reduction in morbidity and mortality rates after a myocardial infarction. 2 Considering the data indicating that prolonged use of beta blockers influences serum levels of T4, T3, and rT3 in euthyroid patients suffering from ischemic heart disease, 3 it is pertinent to inquire whether long-term beta blocker therapy may trigger hypothyroidism in these individuals. In this context, we present a case involving a male patient who was diagnosed with ischemic heart disease and later developed hypothyroidism following prolonged treatment with bisoprolol.
Reference Key
mussian2024longterm Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Nabeel Salim Mussian, Ahmed Salem Basabbea
Journal Yemen Journal of Medicine
Year 2024
DOI
10.18231/j.yjom.2024.035
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