Unubol M, Eryilmaz U, Guney E, Akgullu C, Kurt Omurlu I
Division of Endocrinology Department of Internal Medicine Adnan Menderes University Medical Faculty Aydin, Turkey -
Minerva Endocrinol. 2014 Jun;39(2):135-40.
There remains conflicting opinions regarding the relationship between the risk of cardiovascular disease and subclinical hypothyroidism (SH), and there are also varying study results. Recent growing evidence suggests that epicardial adipose tissue (EAT) may play a key role in the pathogenesis and development of coronary artery disease. The effects of SH on echocardiographic EAT is not currently known. The aim of this present study was to measure echocardiographic EAT with anthropometric and clinical parameters in patients with SH.
The study was designed as a prospective and case-controlled study. Body fat ratio, echocardiographic EAT measurements, body mass index, and the waist circumference of patients were measured for analysis.
Epicardial adipose tissue was measured to be 3.83±1.04 mm for patients with SH, while it was measured to be 2.81±0.74 mm in the control group, and there was a significant difference detected between two groups (P<0.001).
In the present study significantly increased EAT in patients with SH was detected.
关于心血管疾病风险与亚临床甲状腺功能减退(SH)之间的关系仍存在相互矛盾的观点,研究结果也各不相同。最近越来越多的证据表明,心外膜脂肪组织(EAT)可能在冠状动脉疾病的发病机制和发展中起关键作用。目前尚不清楚SH对超声心动图测量的EAT有何影响。本研究的目的是在SH患者中测量超声心动图EAT,并分析其与人体测量学和临床参数的关系。
本研究设计为前瞻性病例对照研究。测量患者的体脂率、超声心动图EAT、体重指数和腰围进行分析。
SH患者的心外膜脂肪组织测量值为3.83±1.04mm,而对照组为2.81±0.74mm,两组间差异有统计学意义(P<0.001)。
在本研究中,检测到SH患者的EAT显著增加。