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评估伊拉克甲状腺功能减退症女性的心血管变化。

Assessing cardiovascular changes in Iraqi women with hypothyroidism.

机构信息

Physiology and Medical Physics Department, College of Medicine, Al-Mustansiriyah University, Baghdad, Iraq.

College of Medicine, Al-Mustansiriyah University, Baghdad, Iraq.

出版信息

J Med Life. 2023 Apr;16(4):579-582. doi: 10.25122/jml-2022-0220.

Abstract

This study aimed to investigate the cardiovascular changes associated with hypothyroidism, a topic that has received significant research attention. Although only a limited number of studies have been conducted in Iraq to evaluate cardiac parameters in patients with hypothyroidism, it is widely recognized that hypothyroidism can lead to reversible cardiac dysfunction in humans. The study enrolled 100 subjects, of which 50 were diagnosed with hypothyroidism and 50 without hypothyroidism. Medical history and body mass index (BMI) were recorded for each patient, and lipid profile, thyroid function tests, ECG, and echocardiogram results were obtained. The results revealed significant differences in the thyroid functions of hypothyroid patients compared to healthy controls, except for HDL-C, which did not show any significant difference. Hypothyroid patients had higher triglyceride and total cholesterol levels and lower HDL-C, while LDL, LDL-C, VLDL, and VLDL-C were within normal range. Patients with hypothyroidism showed a higher prevalence of ECG and echocardiogram abnormalities, including diastolic dysfunction and pericardial effusion, compared to the control subjects. Our findings suggest that hypothyroidism can affect the cardiovascular system, with the degree of impact depending on TSH elevation.

摘要

本研究旨在探讨与甲状腺功能减退症相关的心血管变化,这是一个备受关注的研究课题。尽管在伊拉克仅有少数研究评估甲状腺功能减退症患者的心脏参数,但普遍认为甲状腺功能减退症可导致人类心脏功能出现可逆转的障碍。该研究纳入了 100 名受试者,其中 50 名被诊断为甲状腺功能减退症,50 名没有甲状腺功能减退症。每位患者的病史和体重指数(BMI)均被记录,并获得了血脂谱、甲状腺功能检查、心电图和超声心动图结果。结果显示,与健康对照组相比,甲状腺功能减退症患者的甲状腺功能存在显著差异,除高密度脂蛋白胆固醇(HDL-C)外,其余均无显著差异。甲状腺功能减退症患者的甘油三酯和总胆固醇水平较高,而高密度脂蛋白胆固醇(HDL-C)较低,低密度脂蛋白(LDL)、低密度脂蛋白胆固醇(LDL-C)、极低密度脂蛋白(VLDL)和极低密度脂蛋白胆固醇(VLDL-C)则处于正常范围内。与对照组相比,甲状腺功能减退症患者的心电图和超声心动图异常更为常见,包括舒张功能障碍和心包积液。我们的研究结果表明,甲状腺功能减退症可影响心血管系统,其影响程度取决于 TSH 的升高程度。

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