Document Detail


Coronary flow reserve is impaired in subclinical hypothyroidism.
MedLine Citation:
PMID:  18000961     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Although the cardiovascular system is highly sensitive to thyroid hormones, the cardiovascular effects of subtle thyroid dysfunction such as subclinical hypothyroidism (SHT) remain unclear. Therefore, we investigated coronary flow reserve (CFR) reflecting coronary microvascular function in patients with SHT. METHODS: Fifty subjects with SHT and 30 control subjects with normal serum thyroid hormones and TSH levels were included in this study. Coronary diastolic peak flow velocities were measured at baseline and after dipyridamole infusion. CFR was calculated as the ratio of hyperemic to baseline diastolic peak velocity. RESULTS: Age, gender, diastolic and systolic blood pressure, body mass index (BMI), serum lipid parameters, and thyroid hormone levels were similar between the groups. Heart rate was significantly lower in the SHT group. Left ventricular diastolic filling parameters were significantly different in the SHT group while other echocardiographic parameters were similar. CFR values were significantly lower in subjects with SHT than in the control group (2.38 +/- 0.44 vs. 2.98 +/- 0.47, p < 0.0001). CONCLUSIONS: These findings suggest that CFR, which reflects coronary microvascular function, is impaired in patients with SHT.
Authors:
Semra Baycan; Dogan Erdogan; Mustafa Caliskan; Baris Onder Pamuk; Ozgur Ciftci; Hakan Gullu; Aylin Yildirir; Nilgun D Guvener; Haldun Muderrisoglu
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical cardiology     Volume:  30     ISSN:  0160-9289     ISO Abbreviation:  Clin Cardiol     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-11-21     Completed Date:  2008-01-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  562-6     Citation Subset:  IM    
Affiliation:
Cardiology Department, Baskent University, Faculty of Medicine, Ankara, Turkey. semrab@baskent-kon.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Blood Flow Velocity
Body Mass Index
Case-Control Studies
Coronary Circulation*
Diastole
Echocardiography / methods
Female
Humans
Hypothyroidism / complications*,  therapy
Male
Middle Aged
Myocardial Contraction
Myocardium / pathology
Thyrotropin / metabolism
Chemical
Reg. No./Substance:
9002-71-5/Thyrotropin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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