We thank Louis Hofstetter and Franz H Messerli for their interest in our Seminar on hypothyroidism in The Lancet.¹ We agree that hypothyroidism is rarely the sole underlying cause of hypertension in the general population and that hypertension should always be treated in the context of primary cardiovascular disease prevention. However, several observational studies have shown a difference in blood pressure between those with hypothyroidism (clinical or subclinical) and euthyroid individuals, even after adjusting for age.

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？–作者的答复

感谢Louis Hofstetter和Franz H Messerli对我们在《柳叶刀》上的甲状腺功能减退研讨会的关注。¹我们同意，甲状腺功能减退症很少是普通人群高血压的唯一根本原因，并且应该在一级心血管疾病的预防中始终治疗高血压。但是，一些观察性研究表明，即使在调整了年龄之后，甲状腺功能减退症患者（临床或亚临床）与甲状腺功能正常者的血压也存在差异。