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Published on: September 26, 2018
Cardiovascular disease and risk factors: the role of growth hormone
1Sahlgrenska Academy, University of Göteborg, Göteborg, Sweden. jorgen.isgaard@medic.gu.se
Insights
Growth hormone (GH) impacts heart health, and chronic GH deficiency (GHD) impairs cardiac function and increases cardiovascular disease risk. GH replacement therapy may improve outcomes in GHD patients.
Area of Science:
- Cardiology
- Endocrinology
- Metabolic Disorders
Background:
- Growth hormone (GH) plays a crucial role in cardiovascular system development and function.
- Chronic growth hormone deficiency (GHD) is linked to impaired cardiac performance, reduced exercise capacity, and increased cardiovascular disease risk factors.
Purpose of the Study:
- To discuss the physiological effects of GH on the cardiovascular system.
- To examine the impact of GHD on cardiovascular disease risk.
- To review the effects of long-term GH replacement therapy in GHD patients.
Main Methods:
- Review of clinical studies in patients with acromegaly and GHD.
- Analysis of the association between GHD and cardiovascular risk factors.
- Discussion of GH's role in cardiovascular physiology.
Main Results:
- GHD is associated with impaired left ventricular systolic function, reduced exercise capacity, and increased cardiovascular risk factors like altered lipid metabolism, hypertension, and elevated adiposity.
- These factors may contribute to an increased risk of cardiovascular mortality.
- GH replacement therapy is a potential intervention for improving cardiovascular health in GHD.
Conclusions:
- GH is vital for cardiovascular health.
- GHD significantly increases cardiovascular disease risk.
- Long-term GH replacement therapy warrants further investigation for its cardiovascular benefits in GHD patients.
Abstract:
Clinical studies in patients with acromegaly have shown that growth hormone (GH) exerts both short- and long-term effects on the structure and function of the heart. Moreover, chronic growth hormone deficiency (GHD) has been associated with impaired cardiac performance, low heart rate and impaired left ventricular systolic function. Exercise capacity in patients with GHD is significantly reduced and in some severely affected individuals, dilated cardiomyopathy and heart failure has been reported. GHD has also been associated with a number of risk factors for cardiovascular disease. Altered lipoprotein metabolism and elevated fibrinogen and plasminogen activator inhibitor-1 activity are associated with GHD, and the risk of hypertension is increased in GH-deficient men. Subcutaneous and intra-abdominal fat mass have also been found to be abnormally high in these patients. These effects may contribute to an increased risk of death from cardiovascular disease. GH is therefore an important factor in the development and function of the cardiovascular system. In this paper, the effects of GH on the physiological mechanisms of the cardiovascular system are discussed, including the effect of GHD on cardiovascular disease risk. We will also discuss the effects of long-term GH replacement therapy in this patient population.
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