Effects of adult growth hormone deficiency and replacement therapy on the cardiometabolic risk profile

Balázs Ratku1,2,3, Veronika Sebestyén1,2, Annamária Erdei4

  • 1Department of Emergency Medicine, Faculty of Medicine, University of Debrecen, Egyetem tér 1, Debrecen, 4032, Hungary.

Pituitary
|February 2, 2022
PubMed

Insights

Adult growth hormone deficiency (AGHD) presents a significant cardiometabolic risk. While hormone replacement helps, it doesn't resolve all issues, necessitating careful cardiovascular monitoring for affected patients.

Area of Science:

  • Endocrinology
  • Cardiovascular Medicine
  • Metabolic Disorders

Background:

  • Adult growth hormone deficiency (AGHD) is a rare endocrine disorder with adverse cardiometabolic risk.
  • Associated factors include endothelial dysfunction, inflammation, oxidative stress, and hypovitaminosis D, contributing to premature atherosclerosis.

Purpose of the Study:

  • To review the cardiometabolic risk profile in AGHD patients.
  • To discuss novel biomarkers and diagnostic techniques for cardiovascular risk assessment.
  • To provide recommendations for managing cardiovascular health in AGHD.

Main Methods:

  • Literature review of studies on AGHD and cardiovascular risk.
  • Analysis of contributing factors beyond traditional risk factors.
  • Discussion of growth hormone replacement therapy's effects.

Main Results:

  • AGHD is linked to endothelial dysfunction, inflammation, altered adipokines, oxidative stress, and hypovitaminosis D.
  • Growth hormone replacement therapy shows benefits but doesn't eliminate all cardiometabolic abnormalities.
  • Novel biomarkers may improve individual risk evaluation.

Conclusions:

  • AGHD patients have a complex cardiometabolic risk profile requiring comprehensive assessment.
  • Close cardiovascular monitoring and a low threshold for detailed evaluation are recommended.
  • Further research into specific guidelines for cardiovascular assessment in AGHD is warranted.

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