Low plasma triiodothyronine levels in heart failure are associated with a reduced anabolic state and membrane damage

Gabriela Brenta, Jorge Thierer, Marcela Sutton, Adriana Acosta, Nora Vainstein, Fernando Brites, Laura Boero, Leonardo Gómez Rosso, Stefan Anker

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)937-942
Number of pages6
JournalEuropean Journal of Endocrinology
Volume164
Issue number6
DOIs
Publication statusPublished - Jun 2011

ASJC Scopus subject areas

  • Endocrinology
  • Endocrinology, Diabetes and Metabolism

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