ADIPOKINES CONTENT AND ECHOCARDIOGRAPHY INDICATORS OF WOMEN WITH HYPOTHYROIDISM
https://doi.org/10.17650/1818-8338-2014-2-17-21
Abstract
Study objective: to study the adipokines content and echocardiography indicators of women with hypothyroidism.
Materials and methods. 30 women with hypothyroidism were included into the study with the average age of 55.2 ± 2.2 years old and the duration of disease of 8.53 ± 0.84 years. Anthropometric parameters of all patients were measured. Levels of leptin, resistin, adiponectin were investigated with enzyme multiplied immunoassay. Morphometric parameters of the left ventricle (LV) were assessed with echocardiography.
Results. The examined patients with hypothyroidism displayed increased concentration of leptin and resistin, as well as decreased concentration of adiponectin. Concentric and eccentric hypertrophy of the left ventricle is revealed in more than half of cases with patients with the hypofunction of the thyroid gland.
Conclusion. Evident decreasing of the level of adiponektin and increasing of the level of leptin and resistin was revealed with examined patients on the background of the excessive body weight. Hypertrophy of the left ventricle and diastolic dysfunction of the myocard with its relatively preserved contractile ability was revealed with women that suffer from hypothyroidism. Age, excessive body weight, increasing of arterial blood pressure, and hypoadiponectinemia play a significant role in the left ventricle myocardial remodeling.
About the Authors
I. Yu. KapralovaRussian Federation
A. F. Verbovoy
Russian Federation
I. A. Sharonova
Russian Federation
References
1. Петунина Н.А., Трухина Л.В. Гипотиреоз. Русский медицинский журнал 2013;(5):1–3. [Petunina N.A., Trukhina L.V. Hypothyroidism. Rysskiy meditsinskiy zhyrnal = Russian Medical Journal 2013;(5):1–3. (In Russ.)].
2. Петунина Н.А. К вопросу о состоянии сердечно-сосудистой системы при нарушении функции щитовидной железы. Фарматека 2007;(3):51–6. [Petunina N.A. Regarding the issues of the status of the cardiovascular system with violations of the thyroid gland functioning. Farmateka 2007;(3):51–6. (In Russ.)].
3. Килейников Д.В., Орлов Ю.А., Горбачева С.А. и др. Особенности центральной и периферической гемодинамики у больных артериальной гипертензией при первичном гипотиреозе и сахарном диабете 2 типа. Терапевт 2012;(5):15–7. [Kileynikov D.V., Orlov Yu.A., Gorbachyova S.A. et al. Peculiarities of the central and peripheral hemodynamics of patients with arterial hypertension with primary hypothyroidism and type 2 diabetes mellitus. Terapevt = Therapeutist 2012;(5): 15–7. (In Russ.)].
4. Hueston W.J. Pearson W.S. Subclinical hypothyroidism and the risk of hypercholesterolemia. Ann Fam Med 2004;2(4):351–5.
5. Петунина Н.А., Альтшулер Н.Э. Сравнительный анализ уровней адипонектина, лептина, резистина, показателей липидного обмена и инсулинорезистентности при субклиническом гипотиреозе в зависимости от наличия/отсутствия заместительной терапии левотироксином. Эндокринология: новости, мнения, обучение 2013;(2):27–31. [Petunina N.A., Altschuler N.E. Comparative analysis of the levels of adiponectin, leptin, resistin, lipid metabolism and insulin resistance indicators with subclinical hypothyroidism depending on the availability/absence of replacement therapy with levothyroxine. Endocrinology: news, opinion, training 2013;(2):27–31. (In Russ.)].
6. Dekker J.M., Funahashi T., Nijpels. G. et al. Prognostic value of adiponectin of cardiovascular disease and mortality. J Clin Endocrinol Metab 2008;93(4):1489–96.
7. Farvid M.S., Ng T.W., Chan D.C. et al. Association of adiponectin and resistin with adipose tissue compartments, insulin resistance and dyslipidaemia. Diabetes Obes Metab 2005;7(4):406–13.
8. Волов Н.А., Адамов П.Б., Лебедева А.Ю. и др. Лептин – новый фактор риска сердечно-сосудистых заболеваний. Терапевт 2011;(8):50–4. [Volov N.A., Adamov P.B., Lebedeva A.Yu. et al. Leptin as a new risk factor of cardiovascular diseases. Terapevt = Therapeutist 2011;(8):50–4. (In Russ.)].
9. Lang R.M., Bierig M., Devereux R.B. et al. Recommendations for chamber quantification. Eur J Echocardiogr 2006;7(2):79–108.
10. Васюк Ю.А. Возможности и ограничения эхокардиографического исследования в оценке ремоделирования левого желудочка при ХСН. Сердечная недостаточность 2003;4(2):107–10. [Vasyuk Yu.A. Possibilities and limitation f echocardiography examination in the evaluation of left ventricular remodeling with CHF. Serdechnaya nedostatochnost = Heart Failure 2003;4(2):107–10. (In Russ.)].
11. Шишкин А.Н., Худяков Н.В., Темная Н.В., Смирнов В.В. Влияние ожирения на ремоделирование миокарда у женщин в перименопаузу. Вестник Санкт-Петербургского университета 2013;11(4):13–22. [Shishkin A.N., Khudyakov N.V., Tyomnaya N.V., Smirnov V.V. Effect of obesity on myocardial remodeling of perimenopausal women. Vestnik Sankt- Peterburgskogo universiteta = St. Petersburg University Herald 2013;11(4):13–22. (In Russ.)].
12. Преображенский Д.В., Сидоренко Б.А., Маренич А.В. и др. Современная терапия артериальной гипертензии (Рекомендации Европейского общества по гипертензии и Европейского общества кардиологов, 2003 г.). Кардиология 2003;43(12):91–103. [Preobrazhenskiy D.V., Sidorenko B.A., Marenich A.V. et al. Modern therapy of arterial hypertension (Recommendations of the European Society of hypertension and the European Society of cardiology, 2003). Kardiologiya = Cardiology 2003;43(12):91–103. (In Russ.)].
13. Biondi B. Mechanisms in endocrinology: Heart failure and thyroid dysfunction. Eur J Endocrinol 2012;167(5):609–18.
14. Килейников Д.В., Семенычев Д.Г., Мазур В.В., Мазур Е.С. Влияние компенсации тиреоидного статуса на функциональное состояние сердечно-сосудистой системы у больных первичным гипотиреозом. Терапевт 2014;(1):25–30. [Kileynikov D.V., Semenychev D.G., Mazur V.V., Mazur E.S. Effect of compensation of thyroid status on the functional state of the cardiovascular system of patients with primary hypothyroidism. Terapevt = Therapeutist 2014;(1):25–30. (In Russ.)].
Review
For citations:
Kapralova I.Yu., Verbovoy A.F., Sharonova I.A. ADIPOKINES CONTENT AND ECHOCARDIOGRAPHY INDICATORS OF WOMEN WITH HYPOTHYROIDISM. The Clinician. 2014;8(2):17-21. (In Russ.) https://doi.org/10.17650/1818-8338-2014-2-17-21