# Which of the following hormones increase the sensitivity of heart to epinephrine?
A. Parathyroid
B. Insulin
C. Thyroid
D. Glucagon
The correct answer is:
C. Thyroid
Explanation:
Thyroid hormones (primarily T3 and T4) increase the sensitivity of the heart to catecholamines, including epinephrine. This effect is due to:
- Increased β-adrenergic receptor density: Thyroid hormones upregulate the expression of β-adrenergic receptors in the heart, enhancing responsiveness to epinephrine and norepinephrine.
- Increased myocardial contractility and heart rate: By amplifying the effects of catecholamines, thyroid hormones contribute to increased cardiac output and sympathetic tone.
Other options:
- A. Parathyroid hormone (PTH): This hormone regulates calcium and phosphate metabolism, with no direct role in cardiac sensitivity to epinephrine.
- B. Insulin: While insulin affects glucose metabolism and has some cardiovascular effects, it does not directly increase heart sensitivity to epinephrine.
- D. Glucagon: Glucagon has some inotropic and chronotropic effects on the heart, but it does not enhance the heart's sensitivity to epinephrine.
Thyroid hormones play a key role in modulating the cardiovascular system, particularly through their interaction with catecholamines.
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