We read with interest the thorough Seminar on hypothyroidism (Sept 23, 2017, p 1550),¹ in which the authors implicate that hypothyroidism is a cause of hypertension. However, hypertension is not a typical sign of hypothyroidism. This misconception is more than 80 years old with Owen Thompson and colleagues² reporting a high incidence of hypertension in myxoedema. Since then, many uncontrolled observational studies have shown that elevated blood pressure in patients with hypothyroidism returns to within normal range after thyroid hormone substitution.

中文翻译：

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甲状腺功能减退症和高血压：事实还是神话？

我们饶有兴趣地阅读甲减深入研讨会（2017年9月23日，第1550），¹中，作者暗示是甲状腺功能减退是高血压的原因。但是，高血压并不是甲状腺功能减退的典型征兆。Owen Thompson及其同事^2的这种误解已有80多年的历史，据报道粘液水肿的高血压发病率很高。从那以后，许多不受控制的观察性研究表明，甲状腺功能低下的患者在甲状腺激素替代后血压升高恢复到正常范围内。