Features of the clinical course and prevalence of thyroid diseases in the Sudaksky district of the republic of Crimea for the period 2018–2020

Zayaeva Anna Anatol'evna, Klimchuk Anastasia Vasilyevna, Koshukova Galina Nikolaevna, Sereda Elizaveta Vladimirovna, Enzel Darya Anatolyevna

The purpose of this study was to study the structure and dynamics of thyroid diseases in the Sudak district of the Republic of Crimea. Materials and methods. Data on the morbidity of the population of the Sudak district of the Republic of Kazakhstan were provided by the State Medical Institution of the Republic of Kazakhstan "Sudakskaya GB". Results. In the period 2018-2020, the increase in thyroid diseases was: in Russia - 2.5%, in the Crimea-8.4%, in the Sudak district-1.9%. The structure of the thyroid gland morbidity is dominated by a decrease in its function-hypothyroidism (34%), which is also due to iodine deficiency in this area. The mortality rate of patients diagnosed with hypothyroidism in the hospital of the therapeutic department of the State Medical Institution of the Republic of Kazakhstan "Sudakskaya GB" in the period 2018-2020 increased by 11.69% as a result of myxedematous coma(64%), as well as ischemic heart disease, acute myocardial infarction against the background of congenital hypothyroidism with diffuse goiter (36%). According to the results of the study in the period 2018-2020. in patients with hypothyroidism, more often than in patients with other thyroid diseases, cardiovascular pathologies were observed, namely: coronary heart disease, acute myocardial infarction, which is due to a lack of thyroid hormones.

Keywords:thyroid pathologies; hypothyroid conditions; endemic areas; acute purulent thyroiditis; myxedematous coma; ischemic heart disease; Sudak district of the Republic of Crimea.