TY - JOUR
T1 - Low plasma triiodothyronine levels in heart failure are associated with a reduced anabolic state and membrane damage
AU - Brenta, Gabriela
AU - Thierer, Jorge
AU - Sutton, Marcela
AU - Acosta, Adriana
AU - Vainstein, Nora
AU - Brites, Fernando
AU - Boero, Laura
AU - Rosso, Leonardo Gómez
AU - Anker, Stefan
PY - 2011/6
Y1 - 2011/6
N2 - Background: Low plasma triiodothyronine (T3) levels are considered a prognostic predictor of death in heart failure (HF) patients. Aim: To study an association between plasma T3 levels and several cardiac, neurohormonal, and metabolic markers of HF. Methods: A total of 133 ambulatory HF patients (114 males; mean age 63.2 years) with left ventricular ejection fraction 4) and T3, N-terminal pro-brain natriuretic peptide (NT-proBNP), and other cardiac and metabolic parameters were measured. The lowest tertile of T3 (group 1) was compared against the two upper ones (group 2). Results: In simple logistic regression, the lowest T3 tertile was associated with more advanced HF disease status: older (age: odds ratio (OR)=1.05; confidence interval (CI) 95% 1.01-1.09, P=0.004), lower functional capacity (walking test: OR=0.996; CI 95% 0.993-0.999, P=0.008), higher NT-proBNP (OR=1.64; CI 95% 1.19-2.27, P=0.003) and adiponectin levels (OR=1.07; CI 95% 1.02-1.11, P=0.004), lower DHEAS log-transformed (OR=0.50; CI 95% 0.31-0.80, P=0.004), and the presence of lower phase angle values as measured by body bioelectrical impedance analysis (OR=3.18; CI 95% 1.50-6.71, P=0.04) and worse renal function (OR=0.96; CI 95% 0.94-0.98, P=0.003). T3 levels in the lowest tertile were independently associated with low phase angle values (OR=2.95, CI 95% 1.16-7.50, P=0.02) and the log transformation of DHEAS (OR=0.56; CI 95% 0.32-0.97, P=0.04). Conclusion: We have demonstrated an association between plasma T3 levels in the lower range and other deranged hormonal and metabolic parameters in HF patients.
AB - Background: Low plasma triiodothyronine (T3) levels are considered a prognostic predictor of death in heart failure (HF) patients. Aim: To study an association between plasma T3 levels and several cardiac, neurohormonal, and metabolic markers of HF. Methods: A total of 133 ambulatory HF patients (114 males; mean age 63.2 years) with left ventricular ejection fraction 4) and T3, N-terminal pro-brain natriuretic peptide (NT-proBNP), and other cardiac and metabolic parameters were measured. The lowest tertile of T3 (group 1) was compared against the two upper ones (group 2). Results: In simple logistic regression, the lowest T3 tertile was associated with more advanced HF disease status: older (age: odds ratio (OR)=1.05; confidence interval (CI) 95% 1.01-1.09, P=0.004), lower functional capacity (walking test: OR=0.996; CI 95% 0.993-0.999, P=0.008), higher NT-proBNP (OR=1.64; CI 95% 1.19-2.27, P=0.003) and adiponectin levels (OR=1.07; CI 95% 1.02-1.11, P=0.004), lower DHEAS log-transformed (OR=0.50; CI 95% 0.31-0.80, P=0.004), and the presence of lower phase angle values as measured by body bioelectrical impedance analysis (OR=3.18; CI 95% 1.50-6.71, P=0.04) and worse renal function (OR=0.96; CI 95% 0.94-0.98, P=0.003). T3 levels in the lowest tertile were independently associated with low phase angle values (OR=2.95, CI 95% 1.16-7.50, P=0.02) and the log transformation of DHEAS (OR=0.56; CI 95% 0.32-0.97, P=0.04). Conclusion: We have demonstrated an association between plasma T3 levels in the lower range and other deranged hormonal and metabolic parameters in HF patients.
UR - http://www.scopus.com/inward/record.url?scp=79957710509&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79957710509&partnerID=8YFLogxK
U2 - 10.1530/EJE-11-0094
DO - 10.1530/EJE-11-0094
M3 - Article
C2 - 21454442
AN - SCOPUS:79957710509
VL - 164
SP - 937
EP - 942
JO - European Journal of Endocrinology
JF - European Journal of Endocrinology
SN - 0804-4643
IS - 6
ER -