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Epicardial Adipose Tissue Increased in Patients with Newly Diagnosed Subclinical Hypothyroidism
Authors:Levent Korkmaz  Sinan Sahin  Ali Riza Akyuz  Murat Ziyrek  Inan Anaforoglu  Mustafa Kose  Hakan Erkan  Mustafa Tar?k A?a?  Zeydin Acar
Institution:aDepartment of Cardiology, Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Trabzon, Turkey;bDepartment of Cardiology, Trabzon, Turkey;cDepartment of Endocrinology, Trabzon Numune Training and Research Hospital, Trabzon, Turkey
Abstract:

Objective

To investigate whether or not patients with subclinical hypothyroidism (SH) have increased epicardial adipose tissue (EAT).

Subjects and Methods

Sixty-one patients with newly diagnosed SH and without any known cardiovascular disease were enrolled. Twenty-four subjects matched for age, gender and body mass index without any thyroid dysfunctions were included as a control group. The EAT was measured by echocardiography and thyroid functions were assessed by routine blood examination.

Results

Patients with SH had higher EAT values than control subjects (3.6 ± 0.9 vs. 2.8 ± 1.4, p = 0.005). Also, SH patients with thyroid-stimulating hormone (TSH) ≥10 mU/l had higher EAT than those with SH with TSH <10 mU/l and control subjects (p = 0.013). In addition, while there was significant correlation between EAT and TSH (r = 0.31, p = 0.014) in patients with SH, there was no significant relation between EAT and TSH in normal subjects (r = 0.09, p = 0.64).

Conclusions

There was a higher level of EAT in patients with SH compared with normal subjects and a significant correlation between EAT and TSH was found.Key Words: Epicardial fat, Coronary heart disease, Subclinical hypothyroidism
Keywords:
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