Evaluation of Thyroid Function in Patients Hospitalized for Acute Heart Failure

• Type: Article in International Scientific Journal
• Date: 2021

Authors

Leite, AR (Author) Other; Neves, JS (Author) FMUP; Borges Canha, M (Author) FMUP; Vale, C (Author) FMUP; von Hafe P (Author) FMUP; Carvalho, Davide (Author) FMUP; Leite-Moreira AF (Author) FMUP

Journal

Title: International Journal of Endocrinology

Vol. 2021

Pages: 1-9

ISSN: 1687-8337

Publisher: Hindawi

Indexing

ISI Web of Knowledge - 1 Citation

Scopus - 2 Citations

Other information

Authenticus ID: P-00T-S2V

DOI: 10.1155/2021/6616681

Abstract (EN): Background. Thyroid hormones (TH) are crucial for cardiovascular homeostasis. Recent evidence suggests that acute cardiovascular conditions, particularly acute heart failure (AHF), significantly impair the thyroid axis. Our aim was to evaluate the association of thyroid function with cardiovascular parameters and short- and long-term clinical outcomes in AHF patients. Methods. We performed a single-centre retrospective cohort study including patients hospitalized for AHF between January 2012 and December 2017. We used linear, logistic, and Cox proportional hazard regression models to analyse the association of thyroid-stimulating hormone (TSH) and free thyroxine (FT4) with inpatient cardiovascular parameters, in-hospital mortality, short-term adverse clinical outcomes, and long-term mortality. Two models were used: (1) unadjusted, and (2) adjusted for age and sex. Results. Of the 235 patients included, 59% were female, and the mean age was 77.5 (SD 10.4) years. In the adjusted model, diastolic blood pressure was positively associated with TSH [beta = 2.68 (0.27 to 5.09); p=0.030]; left ventricle ejection fraction (LVEF) was negatively associated with FT4 [beta = -24.85 (-47.87 to -1.82); p=0.035]; and a nonsignificant trend for a positive association was found between 30-day all-cause mortality and FT4 [OR = 3.40 (0.90 to 12.83); p=0.071]. Among euthyroid participants, higher FT4 levels were significantly associated with a higher odds of 30-day all-cause death [OR = 4.40 (1.06 to 18.16); p=0.041]. Neither TSH nor FT4 levels were relevant predictors of long-term mortality in the adjusted model. Conclusions. Thyroid function in AHF patients is associated with blood pressure and LVEF during hospitalization. FT4 might be useful as a biomarker of short-term adverse outcomes in these patients.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 9