title: Natural history and comorbidities of subjects with subclinical hyperthyroidism: analysis at a tertiary hospital setting.
abstract: BACKGROUND
  Subclinical hyperthyroidism (SH, grade 1, thyrotropin (TSH) ≥0.1 mU/L and grade 2, TSH <0.1 mU/L) is a common disorder with increased prevalence in older subjects. There is evidence for increased morbidities in SH, such as atrial fibrillation and osteoporosis. We aim to study the natural history and comorbidities of SH from patients referred to a tertiary endocrine clinic in Singapore as they are currently unknown.
  
  
  METHODS
  Retrospective evaluation of SH subjects for natural progression and comorbidities.
  
  
  RESULTS
  One hundred and thirteen SH subjects (male/female: 24/89, mean age: 67.2 years, grade 1/grade 2: 60/53) were identified from the endocrine clinic. The aetiology of SH include 52 multinodular goitre, 15 Graves' disease, 7 toxic adenoma and 39 unclassified. A minority of SH patients (5.3 %) progressed to overt hyperthyroidism while 13% remitted to euthyroid state (1 to 3 years with a mean follow-up of 18 months) in the total cohort. Most of the patients remained in SH state during follow-up (50/60 in grade 1 SH and 42/53 in grade SH). However, no single predictive factor could be identified for progression or remission of SH. The prevalence of morbidities in SH subjects include ischaemic heart disease (16.8%), heart failure (8.9%), tachyarrhythmias (13.3%), any cardiovascular disease (28%), cerebrovascular disease (28%), osteoporosis (28%), and any fracture (15.9%).
  
  
  CONCLUSIONS
  Most of SH cases in our cohort remain in subclinical state with very few progressing to overt hyperthyroidism. Significant proportion of SH subjects have vascular disease, but this association needs to be confirmed in prospective controlled studies.
authors.affiliation: Department of Endocrinology, Tan Tock Seng Hospital, Singapore.
authors.forename: Shaikh Abdul
authors.initials: SA
authors.lastname: Abdul Shakoor
authors.forename: Robert
authors.initials: R
authors.lastname: Hawkins
authors.forename: Shin Yii
authors.initials: SY
authors.lastname: Kua
authors.forename: Min Er
authors.initials: ME
authors.lastname: Ching
authors.forename: Rinkoo
authors.initials: R
authors.lastname: Dalan
mesh_terms: D000368:Aged; D018450:Disease Progression; D005260:Female; D006801:Humans; D006980:Hyperthyroidism / Q000150:complications* / Q000175:diagnosis*; D008297:Male; D011446:Prospective Studies; D062606:Tertiary Care Centers