,
Department of Cardiology, Clinic for Heart, Blood Vessel and Rheumatic Diseases, Clinical Centre University of Sarajevo , Sarajevo , Bosnia and Herzegovina
Department of Cardiology, General Hospital “Prim. Dr. Abdulah Nakaš” , Sarajevo , Bosnia and Herzegovina
Department of Pharmacology, Sarajevo Medical School, Sarajevo School of Science and Technology , Sarajevo , Bosnia and Herzegovina
Department of Public Health, Faculty of Medicine, University of Sarajevo , Sarajevo , Bosnia and Herzegovina
Department of Cardiology, Clinic for Heart, Blood Vessel and Rheumatic Diseases, Clinical Centre University of Sarajevo , Sarajevo , Bosnia and Herzegovina
Department of Pharmacology, Sarajevo Medical School, Sarajevo School of Science and Technology , Sarajevo , Bosnia and Herzegovina
Department of Cardiology, Clinic for Heart, Blood Vessel and Rheumatic Diseases, Clinical Centre University of Sarajevo , Sarajevo , Bosnia and Herzegovina
Department of Cardiology, Clinic for Heart, Blood Vessel and Rheumatic Diseases, Clinical Centre University of Sarajevo , Sarajevo , Bosnia and Herzegovina
Internal Medicine Clinic, University Clinical Centre of Tuzla , Tuzla , Bosnia and Herzegovina
Department of Physical Medicine and Rehabilitation, Medical Institute Gata , Bihać , Bosnia and Herzegovina
Department of Human Physiology, School of Medicine, University of Sarajevo , Sarajevo , Bosnia and Herzegovina
Aim
To examine a relation of thyroid function, neutrophil-lymphocyte ratio (NLR) with left ventricular function measured through the left ventricular ejection fraction (LVEF) in patients with acute myocardial infarction treated with percutaneous coronary
intervention (PCI).
Methods
This prospective research involved 160 consecutive patients with acute myocardial infarction. Patients were divided into
those with normal thyroid hormone status (n=80) and those with hypothyroidism (newly diagnosed) (n=80). Inflammatory parameters and parameters of hormonal status were taken for analysis: thyroid-stimulating hormone (TSH), thyroxine (T4), triiodothyronine (T3), free thyroxine (FT4), and free triiodothyronine (FT3). All patients underwent transthoracic echocardiographic examination (TTE) five days upon admission, and left ventricular ejection fraction (LVEF) was analysed.
Results
Significant difference between the two groups was verified in values of T3, T4, erythrocytes, haemoglobin, haematocrit,
neutrophil, lymphocytes, NLR, C-reactive protein (CRP) and sedimentation rate. Patients with euthyroidism had a higher frequency of coronary single-vessel disease (p=0.035) and a significantly lower frequency of triple vessel disease (p=0.046), as well as a higher median value of LVEF (p=0.003). There was a significant correlation between LVEF with haemoglobin values (p=0.002), NLR (p=0.001), and CRP (p=001).
Conclusion
The altered status of the thyroid gland in acute myocardial infarction is associated with the severity of the coronary blood vessel lesion, LVEF and correlates with inflammatory response.
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