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仅对甲状腺素替代治疗有反应的甲状腺功能减退性肌病患者发生心源性休克：一例报告

Cardiogenic shock in a patient with hypothyroid myopathy responsive only to thyroxin replacement: a case report.

作者信息

Dharmasena Sanath, Burzyantseva Olga, Jayawardana Suriya, Rupanagudy Vijay A, Pathmanathan Krishnan

机构信息

Department of Medicine, Coney Island Hospital, 2601 Ocean Parkway, Brooklyn, NY 11235, USA.

出版信息

Cases J. 2010 Feb 23;3:66. doi: 10.1186/1757-1626-3-66.

DOI:10.1186/1757-1626-3-66
PMID:20178564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2844359/
Abstract

The effect of hypothyroidism on the cardiovascular system has been well documented. Cardiac dysfunction due to hypothyroidism manifests as both systolic and diastolic dysfunction of the heart leading to cardiac arrhythmia and congestive heart failure. Its presentation in the form of refractory hypotension is rare. We describe a 52 year old man on whom Hypothyroid Cardiomyopathy manifested as cardiogenic shock responsive only to thyroxin replacement.

摘要

甲状腺功能减退对心血管系统的影响已有充分记录。甲状腺功能减退所致的心脏功能障碍表现为心脏的收缩和舒张功能障碍，进而导致心律失常和充血性心力衰竭。其以难治性低血压形式出现较为罕见。我们描述了一名52岁男性，其甲状腺功能减退性心肌病表现为仅对甲状腺素替代治疗有反应的心源性休克。

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本文引用的文献

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Thyroid disease and the heart.甲状腺疾病与心脏
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Cardiogenic shock in hypothyroidism.甲状腺功能减退症中的心源性休克。
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Subclinical hypothyroidism and cardiovascular risk: a reason to treat?亚临床甲状腺功能减退与心血管风险：是否有治疗的理由？
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Early peripheral responses to intravenous L-thyroxine in primary hypothyroidism.原发性甲状腺功能减退症患者对静脉注射L-甲状腺素的早期外周反应。
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Covert hypothyroidism presenting as a cardiovascular event.隐匿性甲状腺功能减退症表现为心血管事件。
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Reversible alterations in myocardial gene expression in a young man with dilated cardiomyopathy and hypothyroidism.一名患有扩张型心肌病和甲状腺功能减退症的年轻男性心肌基因表达的可逆性改变。
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