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左甲状腺素治疗原发性甲状腺功能减退症伴心房颤动和心包积液患者后窦性心律的恢复。

Restoration of sinus rhythm following levothyroxine treatment in a case of primary hypothyroidism presenting with atrial fibrillation and pericardial effusion.

作者信息

Jain Rajesh, Biswas Dibakar, Chaurasia Kundan, Kumar Manoj, Ghosh Sujoy, Mukhopadhyay Satinath, Chowdhury Subhankar

机构信息

Department of Endocrinology and Metabolism, Institute of Post Graduate Medical Education and Research, Kolkata, India.

出版信息

Indian J Endocrinol Metab. 2013 Oct;17(Suppl 1):S170-2. doi: 10.4103/2230-8210.119561.

DOI:10.4103/2230-8210.119561
PMID:24251147
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3830293/
Abstract

A 72-year-old man presented with palpitation, dyspnea, and chest discomfort. Initial investigations revealed atrial fibrillation (AF) and pericardial effusion, further investigations unraveled primary hypothyroidism (thyroid stimulating hormone) of 34.7 μIU/ml and total thyroxine (T4) of 5.57 μg/dl). Treatment with levothyroxine led to resolution of symptoms, AF, and pericardial effusion.

摘要

一名72岁男性出现心悸、呼吸困难和胸部不适。初步检查发现房颤(AF)和心包积液,进一步检查发现原发性甲状腺功能减退(促甲状腺激素为34.7 μIU/ml,总甲状腺素(T4)为5.57 μg/dl)。左甲状腺素治疗使症状、房颤和心包积液得到缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63c6/3830293/88d4e3544b27/IJEM-17-170-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63c6/3830293/f9df99db66f0/IJEM-17-170-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63c6/3830293/88d4e3544b27/IJEM-17-170-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63c6/3830293/f9df99db66f0/IJEM-17-170-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63c6/3830293/88d4e3544b27/IJEM-17-170-g002.jpg

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本文引用的文献

1
Thyroid disease and the heart.甲状腺疾病与心脏
Circulation. 2007 Oct 9;116(15):1725-35. doi: 10.1161/CIRCULATIONAHA.106.678326.
2
Thyroid hormone and the cardiovascular system.甲状腺激素与心血管系统。
N Engl J Med. 2001 Feb 15;344(7):501-9. doi: 10.1056/NEJM200102153440707.
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Atrial fibrillation and the thyroid.心房颤动与甲状腺
Heart. 1997 Dec;78(6):623-4. doi: 10.1136/hrt.78.6.623a.
4
How useful is thyroid function testing in patients with recent-onset atrial fibrillation? The Canadian Registry of Atrial Fibrillation Investigators.甲状腺功能测试对近期发作的心房颤动患者有多大用处?加拿大心房颤动登记研究人员。
Arch Intern Med. 1996 Oct 28;156(19):2221-4.
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Long QT interval and ventricular tachycardia of "torsade de pointe" type in hypothyroidism.甲状腺功能减退症中的长QT间期及尖端扭转型室性心动过速
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Masked thyroid dysfunction among elderly patients with atrial fibrillation.老年房颤患者中的隐匿性甲状腺功能障碍
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