{"id":1640,"date":"2025-05-11T08:35:31","date_gmt":"2025-05-11T08:35:31","guid":{"rendered":"https:\/\/nutricardio.ro\/?p=1640"},"modified":"2025-05-11T08:35:31","modified_gmt":"2025-05-11T08:35:31","slug":"hipertiroidismul-si-manifestarile-cardiovasculare","status":"publish","type":"post","link":"https:\/\/nutricardio.ro\/hipertiroidismul-si-manifestarile-cardiovasculare\/","title":{"rendered":"Hipertiroidismul \u0219i manifest\u0103rile cardiovasculare"},"content":{"rendered":"<p class=\"\" data-start=\"267\" data-end=\"654\">Hipertiroidismul \u0219i manifest\u0103rile cardiovasculare reprezint\u0103 o asociere frecvent \u00eent\u00e2lnit\u0103 \u00een practica medical\u0103, \u00eentruc\u00e2t excesul de hormoni tiroidieni influen\u021beaz\u0103 direct func\u021bionarea inimii \u0219i a vaselor de s\u00e2nge. Aceast\u0103 stare de hipermetabolism duce la simptome cardiace vizibile \u0219i, \u00een unele cazuri, la complica\u021bii serioase dac\u0103 nu este tratat\u0103 la timp.<\/p>\n<h2 class=\"\" data-start=\"656\" data-end=\"731\">Hipertiroidismul \u0219i manifest\u0103rile cardiovasculare \u2013 efecte asupra inimii<\/h2>\n<p class=\"\" data-start=\"628\" data-end=\"902\">Hipertiroidismul (sau tireotoxicoza) apare atunci c\u00e2nd glanda tiroid\u0103 produce \u00een exces hormonii T3 \u0219i T4. Ace\u0219ti hormoni accelereaz\u0103 metabolismul \u0219i au efecte directe asupra inimii prin stimularea sistemului nervos simpatic \u0219i cre\u0219terea necesarului de oxigen al \u021besuturilor.<\/p>\n<h3 class=\"\" data-start=\"904\" data-end=\"952\">Efectele hormonilor tiroidieni asupra inimii<\/h3>\n<p class=\"\" data-start=\"790\" data-end=\"1067\"><strong>Cre\u0219terea contractilit\u0103\u021bii miocardice<\/strong><br data-start=\"830\" data-end=\"833\" \/>Aceasta se datoreaz\u0103 cre\u0219terii influxului de calciu \u00een celulele miocardice, ceea ce intensific\u0103 for\u021ba de contrac\u021bie a inimii. Rezultatul este un debit cardiac crescut \u0219i o activitate cardiac\u0103 sus\u021binut\u0103, chiar \u0219i \u00een condi\u021bii de repaus.<\/p>\n<p class=\"\" data-start=\"1069\" data-end=\"1315\">\u00a0<strong>Automatism crescut<\/strong><br data-start=\"1090\" data-end=\"1093\" \/>Excesul hormonal determin\u0103 activarea nodului sinoatrial, cresc\u00e2nd frecven\u021ba b\u0103t\u0103ilor inimii. Se manifest\u0103 ca tahicardie sinusal\u0103 (ritm cardiac accelerat constant) \u0219i, \u00een unele cazuri, episoade de aritmii supraventriculare.<\/p>\n<p class=\"\" data-start=\"1317\" data-end=\"1506\"><strong>\u00a0Cre\u0219terea excitabilit\u0103\u021bii atriale<\/strong><br data-start=\"1353\" data-end=\"1356\" \/>Aceast\u0103 stare poate duce la tulbur\u0103ri de ritm, cum ar fi fibrila\u021bia atrial\u0103, mai ales la pacien\u021bii v\u00e2rstnici sau la cei cu boli cardiace preexistente.<\/p>\n<p data-start=\"1508\" data-end=\"1540\"><strong>Manifest\u0103rile cardiovasculare<\/strong><\/p>\n<p class=\"\" data-start=\"1542\" data-end=\"1684\">\u00a0<strong>Sindromul hiperkinetic<\/strong><br data-start=\"1567\" data-end=\"1570\" \/>Reprezint\u0103 un ansamblu de manifest\u0103ri clinice cauzate de stimularea excesiv\u0103 a sistemului cardiovascular. Include:<\/p>\n<ul data-start=\"1686\" data-end=\"1876\">\n<li class=\"\" data-start=\"1686\" data-end=\"1701\">\n<p class=\"\" data-start=\"1688\" data-end=\"1701\">palpita\u021bii,<\/p>\n<\/li>\n<li class=\"\" data-start=\"1702\" data-end=\"1717\">\n<p class=\"\" data-start=\"1704\" data-end=\"1717\">tahicardie,<\/p>\n<\/li>\n<li class=\"\" data-start=\"1718\" data-end=\"1751\">\n<p class=\"\" data-start=\"1720\" data-end=\"1751\">pulsa\u021bii periferice vizibile,<\/p>\n<\/li>\n<li class=\"\" data-start=\"1752\" data-end=\"1803\">\n<p class=\"\" data-start=\"1754\" data-end=\"1803\">hipertensiune arterial\u0103 (\u00een special sistolic\u0103),<\/p>\n<\/li>\n<li class=\"\" data-start=\"1804\" data-end=\"1821\">\n<p class=\"\" data-start=\"1806\" data-end=\"1821\">transpira\u021bii,<\/p>\n<\/li>\n<li class=\"\" data-start=\"1822\" data-end=\"1849\">\n<p class=\"\" data-start=\"1824\" data-end=\"1849\">intoleran\u021b\u0103 la c\u0103ldur\u0103,<\/p>\n<\/li>\n<li class=\"\" data-start=\"1850\" data-end=\"1876\">\n<p class=\"\" data-start=\"1852\" data-end=\"1876\">fatigabilitate la efort.<\/p>\n<\/li>\n<\/ul>\n<p class=\"\" data-start=\"1878\" data-end=\"2191\"><strong>Din punct de vedere cardiovascular<\/strong><br data-start=\"1915\" data-end=\"1918\" \/>Pacientul prezint\u0103 cre\u0219terea debitului cardiac, sc\u0103derea rezisten\u021bei vasculare periferice \u0219i cre\u0219terea presiunii pulsului (diferen\u021ba dintre valorile sistolice \u0219i diastolice). Aceste modific\u0103ri pot duce la dispnee (dificult\u0103\u021bi de respira\u021bie) \u0219i efort cardiovascular crescut.<\/p>\n<p data-start=\"2193\" data-end=\"2298\"><strong>Cardiotireroza<\/strong> este forma avansat\u0103 de afectare cardiac\u0103 \u00een hipertiroidism cronic. Se manifest\u0103 prin:<\/p>\n<ul data-start=\"2300\" data-end=\"2456\">\n<li class=\"\" data-start=\"2300\" data-end=\"2321\">\n<p class=\"\" data-start=\"2302\" data-end=\"2321\">dilatarea inimii,<\/p>\n<\/li>\n<li class=\"\" data-start=\"2322\" data-end=\"2354\">\n<p class=\"\" data-start=\"2324\" data-end=\"2354\">sc\u0103derea func\u021biei sistolice,<\/p>\n<\/li>\n<li class=\"\" data-start=\"2355\" data-end=\"2392\">\n<p class=\"\" data-start=\"2357\" data-end=\"2392\">insuficien\u021b\u0103 cardiac\u0103 congestiv\u0103,<\/p>\n<\/li>\n<li class=\"\" data-start=\"2393\" data-end=\"2456\">\n<p class=\"\" data-start=\"2395\" data-end=\"2456\">tulbur\u0103ri de ritm, \u00een special fibrila\u021bie atrial\u0103 persistent\u0103.<\/p>\n<\/li>\n<\/ul>\n<p class=\"\" data-start=\"2458\" data-end=\"2597\">Aceast\u0103 afec\u021biune necesit\u0103 tratament complex, endocrinologic \u0219i cardiologic, \u0219i poate deveni ireversibil\u0103 dac\u0103 nu este recunoscut\u0103 la timp.<\/p>\n<p class=\"\" data-start=\"2599\" data-end=\"2868\">\u00a0Tratamentul hipertiroidismului trebuie stabilit de un medic specialist. Dac\u0103 apar simptome precum b\u0103t\u0103i rapide ale inimii, oboseal\u0103 nejustificat\u0103, agita\u021bie sau transpira\u021bii excesive, este esen\u021bial s\u0103 te prezin\u021bi la un consult endocrinologic \u0219i cardiologic. Nu am\u00e2na!<\/p>\n<p data-start=\"4665\" data-end=\"5351\">Documentat din: Medicina Interna Bolile Cardiovasculare si Metabolice vol 2.<\/p>\n<p data-start=\"4665\" data-end=\"5351\">Publicatia Editura Medicala, prof. dr. L. Gherasim<\/p>\n<p data-start=\"4665\" data-end=\"5351\"><a href=\"https:\/\/www.facebook.com\/profile.php?id=61572639073054\" target=\"_blank\" rel=\"noopener\">Facebook Nutricardio Magazine<\/a><\/p>\n<p data-start=\"4661\" data-end=\"4913\">Citeste si:\u00a0<a href=\"https:\/\/nutricardio.ro\/beneficiile-pentru-sanatate-ale-activitatii-fizice-adaptate-corpului-tau\/\" target=\"_blank\" rel=\"noopener\">Beneficiile pentru s\u0103n\u0103tate ale activit\u0103\u021bii fizice adaptate corpului t\u0103u<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hipertiroidismul \u0219i manifest\u0103rile cardiovasculare reprezint\u0103 o asociere frecvent \u00eent\u00e2lnit\u0103 \u00een practica medical\u0103, \u00eentruc\u00e2t excesul de hormoni tiroidieni influen\u021beaz\u0103 direct func\u021bionarea<\/p>\n","protected":false},"author":1,"featured_media":1649,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[521,518,516,366,362,504,519,520,517,471],"class_list":["post-1640","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nutritie","tag-afectiuni-cardiace","tag-cardiotireroza","tag-fibrilatie-atriala","tag-hipertiroidism","tag-hormoni-tiroidieni","tag-manifestari-cardiovasculare","tag-metabolism-crescut","tag-sanatate-endocrina","tag-sindrom-hiperkinetic","tag-tahicardie"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - 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