Bindi Massimo, Pinelli Massimiliano, Rosada Javier, Castiglioni Maido
IV Divisione Medica, Azienda Ospedaliera Pisana, Pisa.
Recenti Prog Med. 2005 Nov;96(11):548-51.
Many diseases can lead to atrial fibrillation and one of these is thyroid disfunction. The prevalence of atrial fibrillation does not differ between subclinical and overt hyperthyroidism. Hypothyroidism also can be associated to atrial fibrillation. Low-T3 syndrome is considered a risk factor in cardiac patients. In 100 patients affected by atrial fibrillation we studied the thyroid function and performed ultrasound examination of the thyroid gland. 30 patients had a low-T3 syndrome, 66 (38 > or =10 mm) patients had thyroid nodules, while just 10 patients had an abnormal thyroid function. So, in patients affected by atrial fibrillation, we suggest to study the levels of thyroid hormones and, even if these are normal, to perform an ultrasound examination of the gland.
许多疾病可导致心房颤动,其中之一是甲状腺功能障碍。亚临床甲亢和显性甲亢患者的心房颤动患病率并无差异。甲状腺功能减退也可能与心房颤动有关。低T3综合征被认为是心脏病患者的一个危险因素。在100例心房颤动患者中,我们研究了其甲状腺功能并对甲状腺进行了超声检查。30例患者有低T3综合征,66例(38例≥10mm)患者有甲状腺结节,而只有10例患者甲状腺功能异常。因此,对于心房颤动患者,我们建议检测甲状腺激素水平,即使这些指标正常,也应对甲状腺进行超声检查。