Clinical Focus ›› 2016, Vol. 31 ›› Issue (3): 254-257.doi: 10.3969/j.issn.1004-583X.2016.03.006

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Recent progress in treatment of anti-thyroid drugs on pregnant women with hyperthyroidism

Li Hui,Li Jing   

  1. Department of Endocrinology and Metabolism, Institute of Endocrinology,the First Affiliated Hospital of China Medical University,Liaoning Provincial Key Laboratory of Endocrine Diseases, Shenyang 110001, China
  • Received:2015-10-14 Online:2016-03-05 Published:2016-04-18
  • Contact: Li Jing,Email: lijingendocrine@126.com

Abstract: Hyperthyroidism in pregnancy, especially overt hyperthyroidism can cause adverse pregnancy outcomes, including eclampsia, abortion, preterm birth,gestational diabetes and fetal intrauterine growth restriction, which is a serious threat to the mother and fetus' health. Anti-thyroid drug (ATD) is the first line of choice for those patients, but recent studies found methimazole and propylthiouracil have teratogenic effects. Moreover, they are possible to cause liver function failure and other serious adverse effects, but the degree is different. Therefore, it is very important to appropriately use ATD to protect the health of mother and fetus, especially to restrict the use in the first trimester of pregnancy (6-10 weeks).

Key words: atrialfibrillation, thromboembolism, percutaneousleftatrialappendagetranscatheterocclusion, hyperthyroidism, pregnancy, antithyroid agents

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