Thyroid gland dysfunction and its effect on the cardiovascular system: a comprehensive review of the literature

Navid Ahmadi1, Faisal Ahmadi1, Masehullah Sadiqi1

  • 1Chair and Department of Cardiology-Intensive Therapy and Internal Diseases, Poznan University of Medical Sciences, Poznan, Poland.

Endokrynologia Polska
|November 17, 2020
PubMed

Insights

Thyroid hormones significantly impact heart function, affecting contractility, rhythm, and blood pressure. Understanding these effects is crucial for managing cardiovascular diseases related to thyroid dysfunction.

Area of Science:

  • Cardiology
  • Endocrinology
  • Molecular Biology

Background:

  • The cardiovascular system and thyroid gland share embryologic origins and a close functional relationship.
  • Thyroid dysfunction (hypo- and hyperthyroidism) significantly impacts cardiac function, necessitating thyroid screening in cardiovascular patients.
  • Thyroid hormones influence cardiac components, making their receptors key targets for cardiovascular modulation.

Purpose of the Study:

  • To elucidate the comprehensive effects of thyroid hormones on the cardiovascular system.
  • To detail the cellular mechanisms underlying thyroid hormone action on the heart.
  • To review cardiac function changes in subclinical and overt thyroid disorders and the impact of treatment.

Main Methods:

  • Literature review synthesizing existing research on thyroid hormones and cardiovascular function.
  • Analysis of cellular mechanisms of thyroid hormone action on cardiac tissues.
  • Examination of clinical manifestations and treatment effects in thyroid-related cardiovascular disease.

Main Results:

  • Thyroid hormones directly influence vascular resistance, cardiac contractility, blood pressure, and heart rhythm via specific receptors.
  • Both hypothyroidism and hyperthyroidism induce significant cardiac changes, including systolic and diastolic dysfunction.
  • Thyroid hormone levels are critical for maintaining normal cardiac function, and alterations can lead to profound cardiovascular effects.

Conclusions:

  • A thorough understanding of thyroid hormone's cardiovascular impact is essential for timely diagnosis and effective treatment of related conditions.
  • Reversing cardiac dysfunction is possible by addressing thyroid hormone imbalances.
  • Thyroid hormone therapy can favorably impact cardiac function in patients with thyroid disorders.

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