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Peculiarities of lipid profile parameters in cardiac patients with hypo- and hyperthyroidism
G Chapidze1, N Dolidze, M Williams
1Emergency Cardiology Center, Tbilisi, Georgia.
Insights
Thyroid dysfunction significantly impacts lipid profiles in cardiology patients. Hypothyroidism increases harmful cholesterol and triglycerides, highlighting its role in cardiovascular health.
Area of Science:
- Cardiology
- Endocrinology
- Clinical Biochemistry
Background:
- Thyroid dysfunction is a prevalent issue in cardiac patients.
- Cardiovascular disease is common among individuals with thyroid disorders.
Purpose of the Study:
- To assess lipid profile variations in cardiology patients with hypothyroidism, hyperthyroidism, and normal thyroid function.
- To investigate the relationship between thyroid status and atherogenic lipid fractions.
Main Methods:
- Evaluated 73 cardiology patients with varying thyroid function (hypo-, hyper-, euthyroid).
- Assessed lipid profile parameters including total cholesterol, LDL, HDL, and triglycerides.
- Diagnosed thyroid dysfunction using clinical status and thyroid-stimulating hormone levels.
Main Results:
- Hypothyroid patients exhibited elevated total cholesterol, LDL cholesterol, and triglycerides.
- Hyperthyroid patients generally showed normal lipid concentrations.
- High-density lipoprotein cholesterol levels were normal across all thyroid function groups.
- The most atherogenic lipid profiles were observed in hypothyroid patients with co-existing diabetes mellitus.
Conclusions:
- Thyroid dysfunction, particularly hypothyroidism, is linked to adverse changes in atherogenic lipid profiles.
- Thyroid dysfunction may independently contribute to dyslipidemia in cardiac patients.
- Managing thyroid status is crucial for optimizing lipid profiles in cardiovascular care.
Abstract:
The problem of thyroid dysfunction is very actual in cardiac patients. The aim of the present study was to evaluate lipid profile parameters in 73 hypo-, hyper- and euthyroid cardiology patients visited the Emergency Cardiology Center. Most of the patients had coronary artery disease. Thyroid dysfunction was diagnosed on the basis of patients' clinical status and blood thyroid stimulating hormone. In hypothyroid patients blood levels of total cholesterol, low-density lipoprotein cholesterol and triglycerides were increased. In contrast, the patients with hyperthyroidism had normal concentrations of these parameters. Exception was antiatherogenic fraction of lipid profile - high-density lipoprotein cholesterol, which mean levels were normal in all patients' groups. It is noteworthy that the highest levels of atherogenic fractions were observed in the groups of patients who had hypothyroidism in combination with diabetes mellitus. In conclusion, the results of present study showed that thyroid dysfunction may play a potential independent role in changes of atherogenic lipid profile.
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