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Assessment of Cardiac Morphological and Functional Changes in Mouse Model of Transverse Aortic Constriction by Echocardiographic Imaging
Published on: June 21, 2016
Cardiac size and function in acromegaly
Insights
Acromegaly patients may develop heart problems like left ventricular hypertrophy, especially with long-term disease or high growth hormone levels. These cardiac changes may be reversible with treatment, indicating a specific acromegalic cardiomyopathy.
Area of Science:
- Cardiology
- Endocrinology
- Internal Medicine
Background:
- Acromegaly, a condition caused by excess growth hormone, is associated with cardiovascular complications.
- Understanding the specific cardiac manifestations and their relationship to disease severity is crucial.
Purpose of the Study:
- To investigate cardiac abnormalities in acromegalic patients.
- To identify factors associated with cardiac dysfunction, such as disease duration and growth hormone levels.
Main Methods:
- Utilized echocardiography, phonocardiography, stress electrocardiography with Thallium perfusion scanning, and gated radioisotope left ventricular angiocardiograms.
- Evaluated sixteen patients with acromegaly, assessing cardiac structure and function.
Main Results:
- Six patients with coexistent hypertension or coronary disease showed abnormalities including increased left ventricular mass index and impaired ventricular function.
- Three patients with prolonged acromegaly (>13 years) or very high growth hormone (>100 ng/ml) exhibited concentric left ventricular hypertrophy, with one also showing dysfunction.
- No cardiac abnormalities were observed in patients with shorter disease duration, lower growth hormone levels, or normalized levels after therapy.
Conclusions:
- Acromegaly is linked to a high prevalence of coronary artery and hypertensive heart disease.
- A distinct, potentially reversible cardiomyopathy may occur in acromegaly, possibly due to prolonged disease or elevated growth hormone levels.
Abstract:
Sixteen acromegalic patients underwent echocardiography, phonocardiography, stress electrocardiography with Thallium perfusion scanning and gated radioisotope left ventricular angiocardiograms. Abnormalities consisting of increased echo left ventricular mass index, low velocity of circumferential fiber shortening or elevated pre-ejection period to left ventricular ejection time ratio were found in six patients with coexistent hypertension or coronary disease. Concentric left ventricular hypertrophy was also found in three patients with no known etiology other than acromegaly of greater than thirteen years' duration or with fasting growth hormone concentrations greater than 100 ng/ml. One of these three also had left ventricular dysfunction. Neither hypertrophy nor ventricular dysfunction was found in other acromegalics with shorter duration of disease or lower growth hormone concentrations or with normal growth hormone concentrations after therapy. A high prevalence of coronary artery and hypertensive heart disease is associated with acromegaly. A few patients with acromegaly have a specific, potentially reversible cardiomyopathy probably related to prolonged acromegaly or very high growth hormone concentrations.
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