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Published on: May 12, 2023
Replacement therapy and cardiovascular diseases
M Boschetti1, U Goglia, C Teti
1Department of Endocrinology and Medical Sciences, University of Genoa, Genoa, Italy.
Insights
Growth hormone deficiency (GHD) increases cardiovascular risk and mortality. Growth hormone replacement therapy (GHRT) in adults with GHD improves cardiovascular risk factors and may prevent premature atherosclerosis.
Area of Science:
- Endocrinology
- Cardiovascular Medicine
- Metabolic Disorders
Background:
- Hypopituitarism is linked to reduced life expectancy and increased cardiovascular and cerebrovascular mortality.
- Growth hormone deficiency (GHD) is a significant contributor to this heightened mortality risk.
Purpose of the Study:
- To review the relationship between growth hormone (GH) and cardiovascular risk factors.
- To evaluate the beneficial effects of GH replacement therapy (GHRT) in adults with GHD.
Main Methods:
- Literature review of studies examining GH and cardiovascular risk.
- Analysis of data on the impact of GHRT on various cardiovascular parameters.
Main Results:
- GHRT improves insulin sensitivity, reduces LDL cholesterol and triglyceride levels.
- Studies show decreased intima-media thickness, improved microvascular and endothelial function with GHRT.
- GHRT also decreases inflammatory markers, normalizes coagulation, and improves cardiac performance.
Conclusions:
- GHRT demonstrates positive effects in preventing premature atherosclerosis in adults with GHD.
- Early administration of GHRT is encouraged for adults with GHD to mitigate cardiovascular risks.
Abstract:
It is known that hypopituitarism reduces life expectancy and increases the risk of death for cardio- and cerebrovascular disease. Many studies report this phenomenon due to vascular diseases, and GH deficiency (GHD) seems to significantly contribute to the higher mortality. Aim of this article is to review the relationship between GH and cardiovascular risk factors to evaluate the beneficial effects of therapy in the adult GHD. GH replacement therapy (GHRT) improves insulin sensitivity, and reduces LDL cholesterol and triglyceride levels. Several studies also documented a decrease in the intima-media thickness at major arteries and improvement in microvascular and endothelial function. Other studies showed a decrease of inflammatory markers and the normalization of coagulation parameters. Finally, some authors have reported improvements in cardiac performance as well. These data evidence the positive effects of GHRT in the prevention of premature atherosclerosis in adults with GHD, and encourage the early administration of replacement therapy.
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