Universidade Federal do Paraná, Curitiba, PR, Brasil.
Pontifícia Universidade Federal do Paraná, Curitiba, PR, Brasil.
Arq Bras Cardiol. 2014 Mar;102(3):270-8. doi: 10.5935/abc.20140014. Epub 2014 Feb 10.
Hyperthyroidism (Hy) exerts a broad range of influences on a variety of physiological parameters. Its disruptive effect on cardiovascular system is one of its most remarkable impacts. Moreover, Hy has been clinically associated with stress - induced hyperactivation of the hypothalamic-pituitary-adrenal axis.
Evaluate the impact of short-term Hy on cardiac performance and adrenal activity of rats.
Induction of Hy in Wistar rats through injections of T3 (150 µg/kg) for 10 days (hyperthyroid group - HG) or vehicle (control group). The cardiovascular performance was evaluated by: echocardiography (ECHO); heart weight/body weight (mg/gr) ratio; contractility of isolated papillary muscles (IPM) and direct measurement of blood pressures. Adrenal activity was evaluated by adrenal weight/body weight (mg/gr) ratio and 24-hour fecal corticosterone (FC) levels on the, 5th and 10th days of T3 treatment.
In HG, the ECHO showed reduction of the End Systolic and End Diastolic Volumes, Ejection, Total Diastolic and Isovolumic Relaxation Times, Diastolic and Systolic Areas and E/A ratio. Heart Rate, Ejection Fraction and Cardiac Output increased. The heart weight/body weight ratio was higher. Similarly, in IPM, the maximum rate of force decay during relaxation was higher in all extracellular calcium concentrations. Systolic blood pressure (SBP) levels were higher. (p ≤ 0.05). On the other hand, there was no difference in the adrenal weight/body weight ratio or in the 24-hour FC levels.
Hy induces positive inotropic, chronotropic and lusitropic effects on the heart by direct effects of T3 and increases SBP. Those alterations are not correlated with changes in the adrenal activity.
甲状腺功能亢进症(甲亢)对多种生理参数产生广泛影响。其对心血管系统的破坏作用是其最显著的影响之一。此外,甲亢已在临床上与下丘脑-垂体-肾上腺轴应激性过度激活相关联。
评估短期甲亢对大鼠心脏功能和肾上腺活性的影响。
通过注射 T3(150µg/kg)10 天诱导 Wistar 大鼠发生甲亢(甲亢组-HG)或使用载体(对照组)。通过以下方法评估心血管功能:超声心动图(ECHO);心脏重量/体重(mg/gr)比值;分离乳头肌(IPM)的收缩性和直接测量血压。通过肾上腺重量/体重(mg/gr)比值和第 5 天和第 10 天的 24 小时粪便皮质酮(FC)水平评估肾上腺活性。
在 HG 中,ECHO 显示收缩末期和舒张末期容积、射血分数、总舒张和等容舒张时间、舒张面积和收缩面积以及 E/A 比值降低。心率、射血分数和心输出量增加。心脏重量/体重比值更高。同样,在 IPM 中,所有细胞外钙浓度下舒张期松弛时最大力衰减率更高。收缩压(SBP)水平更高。(p≤0.05)。另一方面,肾上腺重量/体重比值或 24 小时 FC 水平没有差异。
T3 的直接作用导致甲亢对心脏产生正性变力、变时和变传导作用,并增加 SBP。这些变化与肾上腺活性的变化无关。