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October 1, 1967Journal of Clinical Investigation386 citationsOpen Access

Influence of the Thyroid State on the Intrinsic Contractile Properties and Energy Stores of the Myocardium*

RBRobert A. BuccinoJSJames F. SpannPPPeter E. Pool

Key Points

  • To investigate how varying thyroid levels impact the contractile properties and energy stores of cardiac muscle.
  • Examined isolated cat papillary muscles across three thyroid activity levels.

Structured PICO

Does the level of thyroid activity affect the intrinsic contractile properties and energy stores of the myocardium in cats?

P
Population
Isolated cat papillary muscles and intact cats at three levels of thyroid activity (hyperthyroid, euthyroid, hypothyroid)
I
Intervention
Hyperthyroid and hypothyroid states
C
Comparator
Euthyroid state (normal thyroid activity)
O
Outcome
Intrinsic contractile properties (velocity of shortening, rate of tension development, duration of active state, isometric tension) and myocardial high energy phosphate stores (creatine phosphate and ATP)surrogate

Thyroid activity profoundly alters the intrinsic contractile state and inotropic responsiveness of cardiac muscle independent of norepinephrine or high energy phosphate stores.

Abstract

The intrinsic contractile properties of isolated cat papillary muscles and myocardial high energy phosphate stores were examined at three levels of thyroid activity and correlated with hemodynamic measurements in the intact animal. In addition, the relationship of thyroid state to endogenous norepinephrine stores and myocardial responsiveness to certain inotropic interventions were studied. In muscles from hyperthyroid cats, the velocity of shortening and the rate of tension development were markedly augmented, while duration of active state was decreased, compared to euthyroid muscles. These findings occurred in the presence and absence of intact norepinephrine stores and over a wide range of temperature and contraction frequency. The opposite changes occurred in muscles from hypothyroid cats. Isometric tension was slightly higher in muscles from hyperthyroid and lower in muscles from hypothyroid cats. The inotropic response to both norepinephrine and strophanthidin varied inversely with the level of thyroid state and allowed all three groups of muscles to reach a common ceiling of isometric tension regardless of thyroid state. Creatine phosphate and adenosine triphosphate stores were intact at all three levels of thyroid state. Thus, the level of thyroid activity profoundly affects the intrinsic contractile state of cardiac muscle, independent of both norepinephrine stores and alterations in high energy phosphate stores, and, in addition, modifies the responsiveness of cardiac muscle to inotropic agents.

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Cite This Study

Buccino et al. (1967) studied this question.

synapsesocial.com/papers/6a07ebedc3448d68e53784d2https://doi.org/10.1172/jci105658
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