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Am J Physiol Heart Circ Physiol (February 29, 2008). doi:10.1152/ajpheart.01379.2007
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Submitted on November 29, 2007
Accepted on February 26, 2008

Serum thyroid hormone levels may not accurately reflect thyroid tissue levels and cardiac function in mild hypothyroidism

Yingheng Liu1, Rebecca A Redetzke1, Suleman Said2, James V Pottala3, Gabriella Morreale de Escobar4, and Anthony Martin Gerdes2*

1 Cardiovascular Research Center, Sanford Research/USD, Sioux Falls, South Dakota, United States
2 Cardiovascular Research Center, Sanford Research/USD, Sioux Falls, South Dakota, United States; Sioux Falls, South Dakota, United States
3 Sanford Research/USD, Sioux Falls, South Dakota, United States
4 Endocrinology, Instituto de investigaciones Biomedicas Alberto Sols, Autonomous University of Madrid and Spanish Research Council, Madrid, Spain

* To whom correspondence should be addressed. E-mail: mgerdes{at}usd.edu.

The link between thyroid dysfunction and cardiovascular diseases has been recognized for more than a hundred years. While overt hypothyroidism leads to impaired cardiac function and possibly heart failure, the cardiovascular consequences of borderline low thyroid function are not clear. Establishment of a suitable animal model would be helpful. In this study, we characterized a rat model to study the relationship between cardiovascular function and graded levels of thyroid activity. We used rats with surgical thyroidectomy and subcutaneous implantation of slow release pellets with three different T4 doses for three weeks. In terminal experiments, cardiac function was evaluated by echocardiograms and hemodynamics. Myocardial arteriolar density was also quantified morphometrically. Thyroid hormone levels in serum and heart tissue were determined by RIA assays. Thyroidectomy alone led to cardiac atrophy, severe cardiac dysfunction, and a dramatic loss of arterioles. The low T4 dose normalized serum T3 and T4 levels, but cardiac tissue T3 and T4 remained below normal. Low dose T4 failed to prevent cardiac atrophy or restore cardiac function and arteriolar density to normal values. All cardiac function parameters and myocardial arteriolar density were normalized with the middle dose of T4, while the high dose produced hyperthyroidism. Our results show that thyroid hormones are important regulators of cardiac function and myocardial arteriolar density. This animal model will be useful in studying the pathophysiological consequences of mild thyroid dysfunction. Results also suggest that cardiac function may provide valuable supplemental information in proper diagnosis of mild thyroid conditions.




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