Document Detail


Both hypothyroidism and hyperthyroidism increase atrial fibrillation inducibility in rats.
MedLine Citation:
PMID:  24036190     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Evidence indicates that cardiac hypothyroidism may contribute to heart failure progression. It is also known that heart failure is associated with an increased risk of atrial fibrillation (AF). Although it is established that hyperthyroidism increases AF incidence, the effect of hypothyroidism on AF is unclear. This study investigated the effects of different thyroid hormone levels, ranging from hypothyroidism to hyperthyroidism on AF inducibility in thyroidectomized rats.
METHODS AND RESULTS: Thyroidectomized rats with serum-confirmed hypothyroidism 1 month after surgery were randomized into hypothyroid (N=9), euthyroid (N=9), and hyperthyroid (N=9) groups. Rats received placebo, 3.3-mg l-thyroxine (T4), or 20-mg T4 pellets (60-day release form) for 2 months, respectively. At the end of treatment, hypothyroid, euthyroid, and hyperthyroid status was confirmed. Hypothyroid animals showed cardiac atrophy and reduced cardiac systolic and diastolic functions, whereas hyperthyroid rats exhibited cardiac hypertrophy and increased cardiac function. Hypothyroidism and hyperthyroidism produced opposite electrophysiological changes in heart rates and atrial effective refractory period, but both significantly increased AF susceptibility. AF incidence was 78% in hypothyroid, 67% in hyperthyroid, and the duration of induced AF was also longer, compared with 11% in the euthyroid group (all P<0.05). Hypothyroidism increased atrial interstitial fibrosis, but connexin 43 was not affected.
CONCLUSIONS: Both hypothyroidism and hyperthyroidism lead to increased AF vulnerability in a rat thyroidectomy model. Our results stress that normal thyroid hormone levels are required to maintain normal cardiac electrophysiology and to prevent cardiac arrhythmias and AF.
Authors:
Youhua Zhang; Eduard I Dedkov; Diana Teplitsky; Nathan Y Weltman; Christine J Pol; Viswanathan Rajagopalan; Bianca Lee; A Martin Gerdes
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2013-09-14
Journal Detail:
Title:  Circulation. Arrhythmia and electrophysiology     Volume:  6     ISSN:  1941-3084     ISO Abbreviation:  Circ Arrhythm Electrophysiol     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-10-16     Completed Date:  2013-12-11     Revised Date:  2014-10-09    
Medline Journal Info:
Nlm Unique ID:  101474365     Medline TA:  Circ Arrhythm Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  952-9     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Animals
Atrial Fibrillation / etiology*,  physiopathology,  ultrasonography
Disease Models, Animal
Echocardiography
Electrophysiologic Techniques, Cardiac
Enzyme-Linked Immunosorbent Assay
Female
Hemodynamics
Hyperthyroidism / complications*
Hypothyroidism / complications*
Immunohistochemistry
Random Allocation
Rats
Rats, Sprague-Dawley
Thyroid Hormones / blood
Thyroidectomy
Grant Support
ID/Acronym/Agency:
R01 HL103671/HL/NHLBI NIH HHS; R01HL103671/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Thyroid Hormones
Comments/Corrections

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