The association of thyroid function and heart valve sclerosis. Results from a population-based study
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Published on: February 4, 2021
Marcus Dörr1, Jörg Ruppert, Henri Wallaschofski
1Department of Internal Medicine B, Cardiology, Angiology and Pulmology, Ernst-Moritz-Arndt-University, Greifswald, Germany.
Insights
Thyroid dysfunction is linked to cardiovascular issues. Men with high thyroid-stimulating hormone (TSH) levels showed increased odds of aortic valve sclerosis (AVS) and mitral annular calcification (MAC), suggesting higher atherosclerosis risk.
Area of Science:
- Cardiovascular Medicine
- Endocrinology
- Atherosclerosis Research
Background:
- Thyroid dysfunction is recognized for its adverse cardiovascular impacts.
- Aortic valve sclerosis (AVS) and mitral annular calcification (MAC) serve as indicators of generalized atherosclerosis.
Purpose of the Study:
- To investigate the association between thyroid status and the prevalence of AVS and MAC.
- To determine if thyroid dysfunction correlates with markers of atherosclerosis.
Main Methods:
- Analysis of data from 2065 participants (aged ≥45 years) from the Study of Health in Pomerania (SHIP).
- Subjects were categorized by low, medium, and high thyroid-stimulating hormone (TSH) levels.
- Logistic regression models were employed, adjusted for key atherosclerosis confounders.
Main Results:
- In women, AVS prevalence was highest with low TSH levels.
- In men, high TSH levels correlated with a higher prevalence of MAC.
- Men with high TSH exhibited increased adjusted odds for MAC, AVS, or both compared to euthyroid men.
Conclusions:
- A significant association exists between thyroid function and valvular sclerosis.
- Elevated TSH levels in men are linked to a greater likelihood of AVS and MAC.
- These findings suggest a potential link between thyroid status and an increased atherosclerotic state.
Objectives:
Thyroid dysfunction is associated with detrimental cardiovascular effects. We analyzed whether thyroid status is associated with aortic valve sclerosis (AVS) and mitral annular calcification (MAC) as markers of generalized atherosclerosis.
Design:
Data of 2065 subjects (923 women and 1142 men) aged > or =45 years from the Study of Health in Pomerania (SHIP) were analyzed with respect to low, medium and high TSH levels. Logistic regression models were adjusted for major confounders of atherosclerosis.
Main Outcome:
In women, the prevalence of AVS was the highest in those with low TSH (35.1% vs. 26.7% in medium TSH; p<0.05), while there was a higher prevalence of MAC in men with high TSH levels (9.2% vs. 5.2% in medium TSH; p<0.05). Compared with euthyroid men there was an increased adjusted odds ratio for MAC (OR 2.07; 95% CI 1.12-3.89, p<0.05), for the combination of AVS and MAC (OR 2.13; 95% CI 1.08-4.21, p<0.05) or for one of both (OR 1.47; 95% CI 1.02-2.13, p<0.05) among men with high TSH. No such association was found in women.
Conclusions:
There was an association between thyroid function and valvular sclerosis. Men with high TSH values had increased odds for AVS or MAC, and the combination of both. These findings may reflect an increased atherosclerotic state in affected subjects.
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