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.

Hormones (Athens, Greece)
|June 4, 2020
PubMed

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.

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