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Author Spotlight: Integrating Ultrasound Imaging with Biochemical Markers for Thyroid Disease Diagnosis
Published on: February 9, 2024
Relationship of thyroid dysfunction with cardiovascular diseases: updated review on heart failure progression
Adel Abdel-Moneim1, Asmaa M Gaber2, Sherouk Gouda3
1Molecular Physiology Division, Faculty of Science, Beni-Suef University, Salah Salem St., Beni Suef, 62511,, Egypt. adel_men2020@yahoo.com.
Insights
Thyroid dysfunction significantly impacts heart function and can lead to heart failure (HF). Understanding these effects is crucial for managing cardiovascular disease and exploring thyroid hormone replacement therapy for better patient outcomes.
Area of Science:
- Cardiology
- Endocrinology
- Molecular Biology
Background:
- Heart disease is a leading global cause of death.
- Heart failure (HF) arises from impaired ventricular function.
- Thyroid hormones influence cardiovascular homeostasis through genomic and non-genomic pathways.
Purpose of the Study:
- To review the impact of thyroid hormone dysfunction on heart failure pathophysiology.
- To highlight the role of thyroid hormones in cardiovascular events.
- To discuss potential therapeutic implications of thyroid hormone replacement.
Main Methods:
- Review of accumulated evidence on thyroid hormones and cardiovascular events.
- Analysis of genomic and non-genomic actions of thyroid hormones in cardiomyocytes.
- Examination of clinical data on thyroid dysfunction and heart failure.
Main Results:
- Thyroid dysfunction (hypothyroidism, hyperthyroidism, low triiodothyronine syndrome) adversely affects cardiac function.
- Thyroid hormone levels influence myocardial contractility, blood pressure, heart rate, and ejection fraction.
- Thyroid hormone replacement therapy shows potential in reducing cardiovascular events in hypothyroid patients.
Conclusions:
- Thyroid hormone dysfunction is a significant contributor to the development and progression of heart failure.
- Maintaining thyroid hormone balance is essential for cardiac homeostasis.
- Further research into thyroid hormone's role in cardiovascular health may reveal new therapeutic strategies.
Abstract:
Heart disease remains the leading cause of death globally. Heart failure (HF) is a clinical syndrome that results from impairment of the ability of the ventricle to fill with or eject blood. Over the past two decades, accumulated evidence has revealed the contribution of thyroid hormones to cardiovascular (CV) events, exerting their action through genomic and non-genomic pathways within the cardiomyocytes. The pivotal role of thyroid hormones in maintaining cardiac homeostasis has been observed in previous investigations which suggest that the CV system is adversely impacted by fluctuations in thyroid hormone levels, such as those that occur in hypothyroidism, hyperthyroidism, and low triiodothyronine syndrome (LT3S). Thyroid dysfunction has direct effects on myocardial contractility, systolic and diastolic blood pressure, heart mass, heart rate, ejection fraction, and heart output, which may ultimately lead to HF. Recent clinical data have shown that thyroid hormone replacement therapy for hypothyroid patients appears to provide the potential for reducing CV events. Therefore, this review aims to address the impact of thyroid hormone dysfunction on pathophysiological mechanisms contributing to the development and progression of HF.
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