Rizos C V, Elisaf M S, Liberopoulos E N
Department of Internal Medicine, School of Medicine, University of Ioannina, Ioannina, Greece.
Open Cardiovasc Med J. 2011;5:76-84. doi: 10.2174/1874192401105010076. Epub 2011 Feb 24.
Thyroid dysfunction has a great impact on lipids as well as a number of other cardiovascular risk factors. Hypothyroidism is relatively common and is associated with an unfavorable effect on lipids. Substitution therapy is beneficial for patients with overt hypothyroidism, improving lipid profile. However, whether subclinical hypothyroidism should be treated or not is a matter of debate. On the other hand, hyperthyroidism can be associated with acquired hypocholesterolemia or unexplained improvement of lipid profile. Overall, thyroid dysfunction should be taken into account when evaluating and treating dyslipidemic patients.
甲状腺功能障碍对血脂以及许多其他心血管危险因素有很大影响。甲状腺功能减退相对常见,且与对血脂的不良影响有关。替代疗法对显性甲状腺功能减退患者有益,可改善血脂谱。然而,亚临床甲状腺功能减退是否应接受治疗仍存在争议。另一方面,甲状腺功能亢进可能与获得性低胆固醇血症或血脂谱的不明原因改善有关。总体而言,在评估和治疗血脂异常患者时应考虑甲状腺功能障碍。