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  2. Keyword: Hyperthyroidism
IJCS
Original Article

Effects of Hyperthyroidism on Contractility and Na+/Ca2+ Exchanger Activity in the Isolated Papillary Muscle of Rats

Angela Mara Rambo et al. João Victor Capelli Peixoto Rebeca Alves Lins de Albuquerque Ilana Kassouf Silva Rosalvo Tadeu Hochmueller Fogaça

Abstract

Background:

Hyperthyroidism (Hy) is an endocrine disorder, in which the thyroid hormones markedly alter the cardiac function. Increased myocardial contractility and cardiac output, improvement in diastolic relaxation, changes in electrical activity, increments in ventricular mass, and arrhythmias have been reported. However, the influences of thyroid hormones upon molecular mechanisms of cardiac functions have not yet been fully understood.

Objectives:

To evaluate changes in cardiac contractile parameters and the Na+/Ca2+ exchanger (NCX) function in induced hyperthyroid rats.

Methods:

Hy was induced by intraperitoneal injections of T3 (15 μg/100 g) for 10 days. Contractile parameters and NCX function were evaluated in the isolated papillary muscle. Data normality was confirmed by the Shapiro-Wilk test. The comparison between groups was performed through an unpaired Student’s t-test. Results are expressed as mean ± SD. The accepted significance level was p < 0.05.

Results:

Our data revealed, in the Hy group, an increase of 30.98% in the maximum speed of diastolic relaxation (–284.64 ± 70.70 vs. –217.31 ± 40.30 mN/mm2/sec (p = 0.027)) and a boost of 149% in the NCX function in late phase of relaxation (20.17 ± 7.90 vs. 50.22 ± 11.94 minutes (p = 0.002)), with no changes in the maximum twitch force (p = 0.605) or maximum speed of systolic contraction (p = 0.208) when compared to the control.

Conclusion:

The improvement in relaxation parameters is hypothetically attributed to an increase in Sarco-Endoplasmic Reticulum Ca2+ATPase isoform 2 (SERCA2) expression and an increased calcium flow through L-type channels that boosted the NCX function.

  • Hyperthyroidism
  • Myocardial Contraction
  • papillary muscles
  • Rats
  • Sodium-Calcium Exchanger
  • Thyroid Hormones
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Creative Commons Attribution (CC BY) Creative Commons license
25/02/2022 DOI: 10.36660/ijcs.20210023 Views 2
Figure 1
ABC
Review Article

Amiodarone-Induced Thyrotoxicosis – Literature Review & Clinical Update

Luciana Vergara Ferraz de Souza et al. Maria Thereza Campagnolo Luiz Claudio Behrmann Martins Maurício Ibrahim Scanavacca

Abstract

Amiodarone is widely used in treating atrial and ventricular arrhythmias; however, due to its high iodine concentration, the chronic use of the drug can induce thyroid disorders. Amiodarone-induced thyrotoxicosis (AIT) can decompensate and exacerbate underlying cardiac abnormalities, leading to increased morbidity and mortality, especially in patients with left ventricular ejection fraction <30%.

AIT cases are classified into two subtypes that guide therapeutic management. The risks and benefits of maintaining the amiodarone must be evaluated individually, and the therapeutic decision should be taken jointly by cardiologists and endocrinologists.

Type 1 AIT treatment is similar to that of spontaneous hyperthyroidism, using antithyroid drugs (methimazole and propylthiouracil) at high doses. Type 1 AIT is more complicated since it has proportionally higher recurrences or even non-remission, and definitive treatment is recommended (total thyroidectomy or radioiodine).

Type 2 AIT is generally self-limited, yet due to the high mortality associated with thyrotoxicosis in cardiac patients, the treatment should be implemented for faster achievement of euthyroidism. Furthermore, in well-defined cases of type 2 AIT, the treatment with corticosteroids is more effective than treatment with antithyroid drugs.

In severe cases, regardless of subtype, immediate restoration of euthyroidism through total thyroidectomy should be considered before the patient progresses to excessive clinical deterioration, as delayed surgery indication is associated with increased mortality.

  • Amiodarone/therapeutic use
  • Arrhythmias,Cardiaca
  • Hyperthyroidism
  • Hypothyroidis
  • Iosine
  • thyroiditis
  • thyrotoxicosis
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Creative Commons Attribution (CC BY) Creative Commons license
22/11/2021 DOI: 10.36660/abc.20190757 Views 1
Figure 1
IJCS
Case Report

Severe Mitral Regurgitation by Hyperthyroidism in the Absence of Left Ventricular Dilatation

Antonio José Lagoeiro Jorge et al. Wolney de Andrade Martins Eliza de Almeida Gripp Breno Macêdo de Almeida … Camila Cezário Rocha Paz Figueroa Cíntia Lobo Sabino

Introduction

Graves’ disease (GD) is an autoimmune disease and the most common cause of thyrotoxicosis,, with multisystem involvement, that mainly affects women between 40 and 60 years of age. It is the most prevalent cause of autoimmune hyperthyroidism in pregnancy,, and it can be distinguished from gestational thyrotoxicosis due to the presence of diffuse goiter and previous history of hyperthyroidism. Clinical hyperthyroidism occurs in 0.2% of pregnant women.

Heart failure (HF) is a rare manifestation of decompensated GD and it represents a diagnostic challenge due to low clinical suspicion of this etiology.

[…]

  • Graves’ Disease
  • Hyperthyroidism
  • Mitral Valve Insufficiency
  • Pregnant Women
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01/01/2018 DOI: 10.5935/2359-4802.20170089
ABC
Letter to the Editor

Predictors of Atrial Fibrillation Recurrence in Hyperthyroid and Euthyroid Patients

Levent Cerit

To the Editor,

I have read with great interest the article entitled “Predictors of Atrial Fibrillation Recurrence in Hyperthyroid and Euthyroid Patients” by Gürdogan et al., recently published in Arquivos Brasileiros de Cardiologia. The investigators reported that rates of atrial fibrillation (AF) recurrence were similar in hyperthyroid and euthyroid patients and that the duration of AF was the only predictor of AF recurrence in both.

[…]

  • Atrial Fibrillation
  • Euthyroid Sick Syndromes
  • Hyperthyroidism
  • Thyroid Disease
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Creative Commons Attribution (CC BY) Creative Commons license
01/06/2016 DOI: 10.5935/abc.20160085 Views 1
ABC
Artigo Original

Hypertrophic response of the Association of Thyroid Hormone and Exercise in the Heart of Rats

Fernanda Rodrigues de Souza et al. Elmiro Santos Resende Leandro Lopes Alexandre Gonçalves … Rafaella Chagas Thiago Fidale Poliana Rodrigues

Background:

Cardiac hypertrophy is a component of cardiac remodeling occurring in response to an increase of the activity or functional overload of the heart.

Objective:

Assess hypertrophic response of the association of thyroid hormone and exercise in the rat heart.

Methods:

We used 37 Wistar rats, male, adults were randomly divided into four groups: control, hormone (TH), exercise (E), thyroid hormone and exercise (H + E); the group received daily hormone levothyroxine sodium by gavage at a dose of 20 μg thyroid hormone/100g body weight, the exercise group took swimming five times a week, with additional weight corresponding to 20% of body weight for six weeks; in group H + E were applied simultaneously TH treatment groups and E. The statistics used was analysis of variance, where appropriate, by Tukey test and Pearson correlation test.

Results:

The T4 was greater in groups TH and H + E. The total weight of the heart was greater in patients who received thyroid hormone and left ventricular weight was greater in the TH group. The transverse diameter of cardiomyocytes increased in groups TH, E and H + E. The percentage of collagen was greater in groups E and H + E Correlation analysis between variables showed distinct responses.

Conclusion:

The association of thyroid hormone with high-intensity exercise produced cardiac hypertrophy, and generated a standard hypertrophy not directly correlated to the degree of fibrosis.

  • Exercise
  • Heart
  • Hyperthyroidism
  • Rats
  • Thyroid Hormones
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Creative Commons Attribution (CC BY) Creative Commons license
21/12/2013 DOI: 10.5935/abc.20130243 Views 2

How to cite this article

EndNote RIS

Electronic Document Format (Vancouver)

Rambo AM, Peixoto JVC, Albuquerque RAL, Silva IK, Fogaça RTH. Effects of Hyperthyroidism on Contractility and Na+/Ca2+ Exchanger Activity in the Isolated Papillary Muscle of Rats. International Journal of Cardiovascular Sciences 2022;35(4):459-64.

Electronic Document Format (ABNT)

Rambo, Angela Mara; Peixoto, João Victor Capelli; Albuquerque, Rebeca Alves Lins de; Silva, Ilana Kassouf; Fogaça, Rosalvo Tadeu Hochmueller. Effects of Hyperthyroidism on Contractility and Na+/Ca2+ Exchanger Activity in the Isolated Papillary Muscle of Rats. International Journal of Cardiovascular Sciences, v. 35, n. 4, p. 459-464, Feb. 2022.

Electronic Document Format (APA)

Rambo, A. M., Peixoto, J. V. C., Albuquerque, R. A. L. , Silva, I. K., & Fogaça, R. T. H. (2022). Effects of Hyperthyroidism on Contractility and Na+/Ca2+ Exchanger Activity in the Isolated Papillary Muscle of Rats. International Journal of Cardiovascular Sciences, 35(4), 459-464.

Electronic Document Format (ISO)

Rambo, Angela Mara and Peixoto, João Victor Capelli and Albuquerque, Rebeca Alves Lins de and Silva, Ilana Kassouf and Fogaça, Rosalvo Tadeu Hochmueller. Effects of Hyperthyroidism on Contractility and Na+/Ca2+ Exchanger Activity in the Isolated Papillary Muscle of Rats. International Journal of Cardiovascular Sciences [online]. 2022, vol. 35, n. 4, [cited 2026-10-14], pp. 459-464. Available from: <https://journals.cardiol.br/en/article/effects-of-hyperthyroidism-on-contractility-and-na-ca2-exchanger-activity-in-the-isolated-papillary-muscle-of-rats/>. ISSN 2359-4802

EndNote RIS

Electronic Document Format (Vancouver)

Souza LVF, Campagnolo MT, Martins LCB, Scanavacca MI. Amiodarone-Induced Thyrotoxicosis – Literature Review & Clinical Update. Arquivos Brasileiros de Cardiologia 2021;117(5):1038-44.

Electronic Document Format (ABNT)

Souza, Luciana Vergara Ferraz de; Campagnolo, Maria Thereza; Martins, Luiz Claudio Behrmann; Scanavacca, Maurício Ibrahim. Amiodarone-Induced Thyrotoxicosis – Literature Review & Clinical Update. Arquivos Brasileiros de Cardiologia, v. 117, n. 5, p. 1038-1044, Nov. 2021.

Electronic Document Format (APA)

Souza, L. V. F. , Campagnolo, M. T., Martins, L. C. B., & Scanavacca, M. I. (2021). Amiodarone-Induced Thyrotoxicosis – Literature Review & Clinical Update. Arquivos Brasileiros de Cardiologia, 117(5), 1038-1044.

Electronic Document Format (ISO)

Souza, Luciana Vergara Ferraz de and Campagnolo, Maria Thereza and Martins, Luiz Claudio Behrmann and Scanavacca, Maurício Ibrahim. Amiodarone-Induced Thyrotoxicosis – Literature Review & Clinical Update. Arquivos Brasileiros de Cardiologia [online]. 2021, vol. 117, n. 5, [cited 2026-10-14], pp. 1038-1044. Available from: <https://journals.cardiol.br/en/article/amiodarone-induced-thyrotoxicosis-literature-review-clinical-update/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Jorge AJL, Martins WA, Gripp EA, Almeida BM, Figueroa CCRP, Sabino CL. Severe Mitral Regurgitation by Hyperthyroidism in the Absence of Left Ventricular Dilatation. International Journal of Cardiovascular Sciences 2018;31(2):190-2.

Electronic Document Format (ABNT)

Jorge, Antonio José Lagoeiro; Martins, Wolney de Andrade; Gripp, Eliza de Almeida; Almeida, Breno Macêdo de; Figueroa, Camila Cezário Rocha Paz; Sabino, Cíntia Lobo. Severe Mitral Regurgitation by Hyperthyroidism in the Absence of Left Ventricular Dilatation. International Journal of Cardiovascular Sciences, v. 31, n. 2, p. 190-192, Dec. 2017.

Electronic Document Format (APA)

Jorge, A. J. L., Martins, W. A., Gripp, E. A., Almeida, B. M. , Figueroa, C. C. R. P., & Sabino, C. L. (2018). Severe Mitral Regurgitation by Hyperthyroidism in the Absence of Left Ventricular Dilatation. International Journal of Cardiovascular Sciences, 31(2), 190-192.

Electronic Document Format (ISO)

Jorge, Antonio José Lagoeiro and Martins, Wolney de Andrade and Gripp, Eliza de Almeida and Almeida, Breno Macêdo de and Figueroa, Camila Cezário Rocha Paz and Sabino, Cíntia Lobo. Severe Mitral Regurgitation by Hyperthyroidism in the Absence of Left Ventricular Dilatation. International Journal of Cardiovascular Sciences [online]. 2018, vol. 31, n. 2, [cited 2026-10-14], pp. 190-192. Available from: <https://journals.cardiol.br/en/article/severe-mitral-regurgitation-by-hyperthyroidism-in-the-absence-of-left-ventricular-dilatation/>. ISSN 2359-4802

EndNote RIS

Electronic Document Format (Vancouver)

Cerit L. Predictors of Atrial Fibrillation Recurrence in Hyperthyroid and Euthyroid Patients. Arquivos Brasileiros de Cardiologia 2016;106(6):546-7.

Electronic Document Format (ABNT)

Cerit, Levent. Predictors of Atrial Fibrillation Recurrence in Hyperthyroid and Euthyroid Patients. Arquivos Brasileiros de Cardiologia, v. 106, n. 6, p. 546-547, May. 2016.

Electronic Document Format (APA)

Cerit, L. (2016). Predictors of Atrial Fibrillation Recurrence in Hyperthyroid and Euthyroid Patients. Arquivos Brasileiros de Cardiologia, 106(6), 546-547.

Electronic Document Format (ISO)

Cerit, Levent. Predictors of Atrial Fibrillation Recurrence in Hyperthyroid and Euthyroid Patients. Arquivos Brasileiros de Cardiologia [online]. 2016, vol. 106, n. 6, [cited 2026-10-14], pp. 546-547. Available from: <https://journals.cardiol.br/en/article/predictors-of-atrial-fibrillation-recurrence-in-hyperthyroid-and-euthyroid-patients-2/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Souza FR, Resende ES, Lopes L, Gonçalves A, Chagas R, Fidale T, Rodrigues P, et al. Hypertrophic response of the Association of Thyroid Hormone and Exercise in the Heart of Rats. Arquivos Brasileiros de Cardiologia 2013;102(2):187-91.

Electronic Document Format (ABNT)

Souza, Fernanda Rodrigues de; Resende, Elmiro Santos; Lopes, Leandro; Gonçalves, Alexandre; Chagas, Rafaella; Fidale, Thiago; Rodrigues, Poliana. Hypertrophic response of the Association of Thyroid Hormone and Exercise in the Heart of Rats. Arquivos Brasileiros de Cardiologia, v. 102, n. 2, p. 187-191, Dec. 2013.

Electronic Document Format (APA)

Souza, F. R. , Resende, E. S., Lopes, L., Gonçalves, A., Chagas, R., Fidale, T., & Rodrigues, P. (2013). Hypertrophic response of the Association of Thyroid Hormone and Exercise in the Heart of Rats. Arquivos Brasileiros de Cardiologia, 102(2), 187-191.

Electronic Document Format (ISO)

Souza, Fernanda Rodrigues de and Resende, Elmiro Santos and Lopes, Leandro and Gonçalves, Alexandre and Chagas, Rafaella and Fidale, Thiago and Rodrigues, Poliana. Hypertrophic response of the Association of Thyroid Hormone and Exercise in the Heart of Rats. Arquivos Brasileiros de Cardiologia [online]. 2013, vol. 102, n. 2, [cited 2026-10-14], pp. 187-191. Available from: <https://journals.cardiol.br/en/article/hypertrophic-response-of-the-association-of-thyroid-hormone-and-exercise-in-the-heart-of-rats/>. ISSN 0066-782X

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