Eficacia del tratamiento farmacológico vs tratamiento quirúrgico de hipertiroidismo en pacientes mayores de 50 años en el Hospital General Guasmo Sur desde el año 2017 a 2020.

Abstract

Introduction: hyperthyroidism is a pathological disorder in which the thyroid gland synthesizes and secretes an excess of thyroid hormone. It is characterized by normal or high thyroid radioactive iodine uptake (thyrotoxicosis with hyperthyroidism or true hyperthyroidism). Methodology: cross-sectional, observational, descriptive study of hyperthyroid patients older than 50 years treated at the Guasmo Sur General Hospital. Results: 16 of the 19 patients presented tachycardia with palpitations, 14 presented significant weight loss, 13 excessive sweating and 11 goiter. Eight of the 19 patients were treated with methimazole as pharmacological treatment and without any surgical intervention. Seven of the 19 patients were treated with propylthiouracil in addition to undergoing partial thyroidectomy. Four of the 19 patients were not administered pharmacological treatment and underwent a total thyroidectomy. Conclusions: 84% of hyperthyroid patients treated at the Guasmo Sur General Hospital older than 50 years were female, with 74% of them coming from of Guayas, Guayaquil. 40% of patients are cared for in the hospital only with drug treatment with methimazole, 20% only with surgical treatment with total thyroidectomy. The most frequently encountered symptoms are palpitations with tachycardia.