How High Thyroid Levels Affect The Heart
More than 30 million Americans about 1 out of every 8 adults have been diagnosed with heart disease, the leading cause of death among men and women in the United States. While high blood pressure and high cholesterol levels are major contributors to those numbers, what many people dont know is that heart disease can also be caused by an overactive thyroid .
At Phoenix Heart, PLLC, our team uses state-of-the-art approaches to diagnose the cause of heart problems, including lab tests to check for thyroid activity. With locations in Anthem, Goodyear, and Glendale, Arizona, we make it easy and convenient for Arizonans to get the care they need for optimal heart health at every age.
Heres how thyroid problems can affect your heart and what symptoms to look for.
Reduced Blood Volume & Cardiac Output
Hypothyroid conditions frequently result in an overall decreased about of blood volume and related decreased cardiac output . This decreased blood volume triggers the kidneys to raise blood pressure.
Reduced blood volume paired with the decrease in available T3 explains the prevalence of diastolic hypertension in hypothyroid patients: lower blood volume results in less blood to pump around, so while the vessels are not as flexible, there is not as much blood being pushed per pump of the heart.
Systolic blood pressure increases, but not as much in relation to diastolic pressure increases. The constant pressure from the blood volume on further restricted vessels is revealed by the diastolic pressure. Over time, without adequate treatment for the hypothyroid condition, both numbers will continue to elevate.
Blood pressure is independent of TSH levels: actual thyroid hormone levels are the indicator. The mechanism for systolic hypertension in hypothyroid disease isnt quite understood, yet.
Potential Causes Of Hypothyroidism
Hypothyroidism, an under-performing thyroid, may have many different causesand some are more prevalent than others. The most common cause of hypothyroidism is an autoimmune disease.
About Autoimmune DiseaseOur bodies immune systems are charged with protecting us from bacterial and viral invaders. The immune system attacks invaders . People with autoimmune hypothyroidism are at a disadvantage because their immune system attacks the normal thyroid gland. These attacks cause the thyroid hormone producing cells to malfunction, and inhibit the thyroid glands ability to synthesize thyroid hormone. Eventually, there are not enough cells left to meet the bodys need for thyroid hormone. This is more common in women than menand can begin at any point in a persons life, but tends to become more common as people age.
Hashimotos DiseaseThe most prevalent type of autoimmune hypothyroidism is a disease that causes the thyroid to shrinkit is called Hashimotos disease and may cause.
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The Relationship Between Blood Pressure And The Thyroid
The Relationship Between Blood Pressure and Thyroid
The dangers of high blood pressure are well-known yet this condition can often go undetected due to a lack of symptoms. High blood pressure, or hypertension, isnt always a standalone health concern either. Secondary hypertension is fairly common and can occur as symptom alongside many health conditions, such as thyroid disorders.
Thyroid disorders are surprisingly common yet often go undiagnosed. The reason for this is not clear, but could be a combination of people not knowing common symptoms of thyroid disorders and doctors not testing for these issues often enough. Without treatment a thyroid disorder will only worsen over time, and if combined with hypertension can lead to severe health problems.
Thankfully more studies are being done on the link between hypertension and the thyroid, as the connection between the two was fairly unknown until recently. Early recognition of an ill thyroid gland and sudden high blood pressure is important for faster patient recovery.
Which Thyroid Disorders are Associated with Hypertension?
When hypertension is present in a patient with a thyroid abnormality it is often the thyroid gland that started this problem.
There are three types of thyroid conditions associated with secondary hypertension:
- Hypothyroidism Too little thyroid hormone being produced
- Hyperthyroidism Too much thyroid hormone being produced
- Hyperparathyroidism Overactive parathyroid glands
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The Effect Of Thyroid Hormones On Blood Pressure
Thyroid hormone has well-recognized effects on the cardiovascular system and blood pressure regulation. Blood pressure is altered across the entire spectrum of thyroid disease. The effects of hyperthyroidism include increased cardiac output, contractility, tachycardia, widened pulse pressure, decreased systemic vascular resistance, and increased basal metabolic rate. The manifestations of hypothyroidism are in marked contrast to those of hyperthyroidism and include decreased cardiac output, narrow pulse pressure, increased systemic vascular resistance, and decreased metabolic rate. Although thyroid hormone affects almost all tissues of the body and mediates changes in homeostasis, adaptations of the cardiovascular system can result in changes in blood pressure to accommodate the new demands on the system. In this paper, we review the direct and indirect thyroid hormone-mediated effects on blood pressure.
What To Do To Lower High Blood Pressure Quickly
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Muscle Aches And Trouble Swallowing
Muscle aches throughout the body are sometimes associated with abnormal thyroid levels. If your muscle aches have recently onset without any other obvious causes, a thyroid disorder is one likely cause. Rarely, muscle breakdown can also occur. If you find that you are unable to build toned muscle, reach out to your physician.
On a similar vein, because the thyroid is located in the neck, the neck muscles are usually the first to experience these symptoms. This includes the muscles associated with swallowing. If you are struggling to swallow, this could be another signs of thyroid problems.
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The Link Between Thyroid Disorder And Hypertension
Its well known that thyroid disorder can affect your metabolism, but people may not know that theres a link between thyroid problems and high blood pressure. If youve been diagnosed with either, you may want to discuss the other with your doctor.
At Heart & Vascular Institute, our experts have specialized knowledge about cardiology. We also have an endocrinologist on staff, Dr. Sablaa Ali. Taking a team approach to treating thyroid disorder and hypertension gives you the best of both specialties.
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Does Anxiety Lower Blood Pressure
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How Are Thyroid Conditions Treated During Pregnancy And While Breastfeeding
Many medicines used to treat thyroid conditions during pregnancy are safe for your baby. Thyroid medicines can help keep the right level of thyroid hormones in your body. Your provider gives you blood tests during pregnancy to check your TSH and T4 levels to make sure your medicine is at the right amount . T4 is a hormone made by your thyroid.
If youre taking medicine for a thyroid condition before pregnancy, talk to your provider before you get pregnant. Your provider may want to adjust or change your medicine to make sure its safe for your baby. If youre already taking thyroid medicine when you get pregnant, keep taking it and talk to your provider about it as soon as possible.
Treating hyperthyroidism. If you have mild hyperthyroidism, you may not need treatment. If its more severe, you may need to take an antithyroid medicine. This medicine causes your thyroid to make less thyroid hormone.
Providers sometimes use radioactive iodine to treat hyperthyroidism. Pregnant women shouldnt take this medicine because it can cause thyroid problems in the baby.
Antithyroid medicines are safe to take at low doses while youre breastfeeding.
If you had hypothyroidism before getting pregnant, you most likely need to increase the amount of medicine you take during pregnancy. Talk to your health care provider about your medicine as soon as you find out youre pregnant. Your provider can check to make sure youre taking the right dose by checking your TSH levels during pregnancy.
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Blood Pressure Problems And Hypothyroidism Can Go Hand
Did you know that
- being held hostage to the TSH.can be a factor in blood pressure problems?
Its true. A large body of autoimmune-stressed patients, or poorly treated patients, or hypothyroidism of any cause, can develop blood pressure problems, sooner or later.
Granted, at first, its common to have low blood pressure due to your thyroid disease or being treated with T4 meds. Low blood pressure is caused by a lowered force of blood being pushed through your arteries due to the lowered metabolism of thyroid disease. In this case, the upper number, called the systolic, is lower than it should be. But it can eventually lead to high blood pressure.
What causes a turn to having high blood pressure?
Even though many hypothyroid patients can start out with low blood pressure, factors related to having low blood pressure can create HIGH blood pressure over time. For example, the kidneys fail to filter waste products from your body properly when your pressure is low, and angiotensin is produced, which raises your blood pressure. Also, a rise in cortisol from your adrenals as a way to keep you going in the face of a poor thyroid treatment can raise your blood pressure.
In his book, Thyroid Guardian of Health, Dr. Young states
How high is the risk of getting high blood pressure on T4 meds?
When the high blood pressure hits, you can have damage to your blood vessel walls, and the beginning of arteriosclerosis. Your risk for heart attack and stroke increases four-fold.
High Blood Pressure And Chest Pain
Finally, many people who have hyperthyroidism also have high blood pressure, in part due to the excess activity of the heart. If you also have atherosclerosis , elevated blood pressure can cause chest pain or angina, as well. All this excess strain on the heart can lead to an enlarged heart and thickened heart walls , eventually causing heart failure.
An overactive thyroid can cause other symptoms, too, including:
Hyperthyroidism becomes more common as we age, and whats more, the heart-related symptoms of overactive thyroid also occur more frequently in older men and women.
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What Are The Clinical Signs Of High Blood Pressure In Cats
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In some cases, hypertension is suspected because of a heart murmur or liver- or kidney-related clinical signs such as increased water intake or urination, vomiting, and weight loss. Other signs can include seizures, fainting episodes, or nose bleeds.
Thyroid Disorder And Hypertension
Both types of thyroid disorder can lead to hypertension, though they get there in different ways. Hyperthyroidism increases your heart rate and makes your heart work harder, while hypothyroidism weakens your heart muscle and makes it less efficient.
About 3% of people with hypertension have thyroid disorder, and its called secondary hypertension.
In those cases, the usual medications for treating blood pressure dont help lower it. However, treating the underlying thyroid condition along with anti-hypertensive treatments can help.
If youve been diagnosed with thyroid disorder and your blood pressure is consistently high, schedule an appointment at Heart & Vascular Institute. We offer expertise in both cardiology and endocrinology to help you live the healthiest life possible.
To schedule an appointment, call one of our convenient locations in Dearborn, Detroit, or Southfield, Michigan, or use our online booking tool.
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Chronic Kidney Disease In Cats
The kidneys have many functions. They principally act to remove waste products from the blood stream, regulate the levels of certain essential minerals such potassium and sodium, conserve water, and produce urine. The kidneys have a large amount of spare capacity to perform their various functions so at least two-thirds of the kidneys must be dysfunctional before any clinical signs are seen.
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What Causes Hyperthyroidism
Hyperthyroidism has several causes. They include:
- Grave’s disease, an autoimmune disorder in which your immune system attacks your thyroid and causes it to make too much hormone. This is the most common cause.
- Thyroid nodules, which are growths on your thyroid. They are usually benign . But they may become overactive and make too much thyroid hormone. Thyroid nodules are more common in older adults.
- Thyroiditis, inflammation of the thyroid. It causes stored thyroid hormone to leak out of your thyroid gland.
- Too much iodine. Iodine is found in some medicines, cough syrups, seaweed and seaweed-based supplements. Taking too much of them can cause your thyroid to make too much thyroid hormone.
- Too much thyroid medicine. This can happen if people who take thyroid hormone medicine for hypothyroidism take too much of it.