青岛大学医学院学报2011，Vol.47Issue(5)：436-438,3.
甲状腺功能亢进性心脏病57例临床分析
HYPERTHYROID HEART DISEASE: CLINICAL ANALYSIS OF 57 PATIENTS
韩立慧 1阎胜利 1王颜刚 1王娈 1史莎莎 1张卉1
作者信息
- 1. 青岛大学医学院附属医院内分泌科,山东青岛266003
- 折叠
摘要
Abstract
Objective To investigate the clinical characteristics of patients with hyperthyroid heart disease (HHD).Methods Clinical data of 57 HHD patients and 80 with hyperthyroidism (HT), hospitalized from October 2009 to May 2010 in our hospital, were collected and analyzed statistically. Results Of 57 HHD patients, 14(24.6％) were complicated with cardiac insufficiency, mainly (11 cases) being right heart insufficiency; five with graded Ⅲ heart function were right heart dysfunction. Atrial fibrillation was the most common arrhythmia in HHD, 44 (77.2％) were noted in this group. Diffuse toxic goiter was the main cause of HHD, accounting for 41 cases (71.9％), followed by Hashimoto's disease, 11 cases (19. 3％). In comparison between groups of HHD and HT, those in HHD were older, longer cause of disease, higher level of FT4 and lower level of TSH in plasma,the differences being significant between the two groups (F=4. 872-19. 852,P＜0.05). Conclusion The patients who suffer from hyperthyroidism in older age, with longer course of disease, higher FT4, lower TSH and diffuse toxic goiter, are more likely to develop hyperthyroid heart disease, right heart insufficiency and atrial fibrillation are common in this condition.关键词
甲状腺功能亢进症/心脏病/因素分析/统计学Key words
hyperthyroidism/ heart diseases/ factor analysis, statistical分类
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韩立慧,阎胜利,王颜刚,王娈,史莎莎,张卉..甲状腺功能亢进性心脏病57例临床分析[J].青岛大学医学院学报,2011,47(5):436-438,3.
