Table 3—

Potential risk factors for the development of alveolar hypoventilation in hypothyroidism

Decreased pressure output from the respiratory muscles
 Decreased hypoxic and hypercapnic ventilatory drive
 Respiratory muscle weakness (neuropathy, neuromuscular junction abnormality, myopathy, decreased muscle perfusion caused by myocardial impairment)
Increased mechanical load
 Upper airway obstruction/sleep apnoea
 Pleural effusions
 Ascites
 Increased bronchial reactivity
Impaired gas exchange
 Reduction in pulmonary capillary bed
 Increased permeability of the pulmonary capillaries
 Increased alveolar and capillary wall thickness