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Hyperthyroidism and the Heart
Patricia Mejia Osuna1, Maja Udovcic1, Morali D Sharma1
1Houston Methodist Hospital, Houston, Texas.
Insights
Excess thyroid hormone significantly impacts heart function, potentially causing heart failure and dilated cardiomyopathy. This review explores hyperthyroidism
Area of Science:
- Cardiology
- Endocrinology
- Molecular Biology
Background:
- Thyroid hormones are crucial regulators of cardiac function and structure.
- Imbalances in thyroid hormone levels can lead to significant cardiovascular complications.
Purpose of the Study:
- To review the cardiovascular pathophysiology and molecular mechanisms of hyperthyroidism.
- To examine the cardiac complications associated with excess thyroid hormone.
Main Methods:
- Literature review of studies on thyroid hormone and cardiovascular effects.
- Analysis of molecular pathways involved in hyperthyroid cardiomyopathy.
- Examination of clinical outcomes in hyperthyroid patients.
Main Results:
- Hyperthyroidism alters cardiovascular hemodynamics, increasing cardiac output.
- Prolonged excess thyroid hormone can result in high-output heart failure.
- Dilated cardiomyopathy is a potential late-stage complication of untreated hyperthyroidism.
Conclusions:
- Hyperthyroidism poses significant risks to cardiovascular health.
- Understanding the molecular basis of thyroid-induced heart disease is vital for management.
- Early diagnosis and treatment of hyperthyroidism can prevent severe cardiac complications like heart failure and atrial fibrillation.
Abstract:
Thyroid hormones have a significant impact on cardiac function and structure. Excess thyroid hormone affects cardiovascular hemodynamics, leading to high-output heart failure and, in late stages, dilated cardiomyopathy. In this review, we discuss how hyperthyroidism affects cardiovascular pathophysiology and molecular mechanisms and examine the complications caused by excess thyroid hormone, such as heart failure and atrial fibrillation.
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