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两只犬医源性甲状腺功能亢进的心血管表现

Cardiovascular manifestations of iatrogenic hyperthyroidism in two dogs.

作者信息

Fine Deborah M, Tobias Anthony H, Bonagura John D

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, WA 99164, USA.

出版信息

J Vet Cardiol. 2010 Aug;12(2):141-6. doi: 10.1016/j.jvc.2010.03.001. Epub 2010 Jun 27.

Abstract

Two dogs were diagnosed with iatrogenic thyrotoxicosis (1 definitive, 1 presumptive). Both showed physical examination findings of agitation, tachypnea, and tachycardia. Sinus tachycardia with supraventricular ectopy was diagnosed in one case, and syncope and atrial flutter was present in the other. Both dogs had concurrent cardiac disease that might have contributed to the severity of their clinical signs. Excessive thyroid hormone supplementation in humans causes supraventricular arrhythmias including sinus tachycardia, supraventricular tachycardia, atrial fibrillation, and atrial flutter. Clinical signs and rhythm abnormalities resolved in both dogs with resolution of the thyrotoxicosis.

摘要

两只犬被诊断为医源性甲状腺毒症(1例确诊,1例疑似)。两者体格检查均发现有烦躁不安、呼吸急促和心动过速。其中1例诊断为伴有室上性早搏的窦性心动过速,另1例出现晕厥和心房扑动。两只犬均患有并发心脏病,这可能导致了其临床症状的严重程度。人类甲状腺激素补充过量会导致室上性心律失常,包括窦性心动过速、室上性心动过速、心房颤动和心房扑动。随着甲状腺毒症的缓解,两只犬的临床症状和节律异常均得到缓解。

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