2016
The impact of thyroid hormone replacement therapy on left ventricular diastolic function in patients with subclinical hypothyroidism
SHATYNSKA‑MYTSYK, I.; L. RODRIGO; R. CIOCCOCIOPPO; D. PETROVIC; N. LAKUSIC et al.Základní údaje
Originální název
The impact of thyroid hormone replacement therapy on left ventricular diastolic function in patients with subclinical hypothyroidism
Autoři
SHATYNSKA‑MYTSYK, I.; L. RODRIGO; R. CIOCCOCIOPPO; D. PETROVIC; N. LAKUSIC; L. COMPOSTELLA; Miroslav NOVÁK a Peter KRUŽLIAK
Vydání
Journal of Endocrinological Investigation, New York, Springer, 2016, 1720-8386
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30200 3.2 Clinical medicine
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/16:00089225
Organizační jednotka
Lékařská fakulta
UT WoS
EID Scopus
Klíčová slova anglicky
Subclinical hypothyroidism; Echocardiography; Left ventricular diastolic function; Heart failure
Štítky
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 4. 8. 2016 08:23, Ing. Mgr. Věra Pospíšilíková
Anotace
V originále
Objective Subclinical hypothyroidism (SH) is associated with a moderately elevated risk of heart failure events among older adults. The objective of our prospective study was to assess the impact of thyroid hormone replacement therapy (HRT) with low doses of l-thyroxine (6.25-25 mu g/day) on left ventricular diastolic function in patients with SH. Materials and methods 33 patients with SH and 25 healthy controls were involved. All participants underwent standard echocardiography and Doppler imaging at baseline and, the patient group, also after a course of HRT. Results At baseline, patients with SH showed significantly lower E (0.79 +/- 0.22 vs. 0.93 +/- 0.19, p < 0.001), E/A ratio (1.19 +/- 0.29 vs. 1.31 +/- 0.25, p < 0.003), and higher intraventricular septum thickness (IVST) (0.99 +/- 0.14 vs. 0.89 +/- 0.18, p < 0.001) in comparison with healthy controls. After 6 months of therapy, the E/A ratio underwent significant increase (1.28 +/- 0.21 vs. 1.19 +/- 0.29, p < 0.001), while the IVS displayed a robust reduction (0.92 +/- 0.16 vs. 0.99 +/- 0.14, p < 0.001). Conclusions HRT with low-dosed l-thyroxine may improve left ventricular diastolic function in patients with SH.