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与心血管疾病相关的最常见内分泌疾病的心电图变化。文献综述。

Electrocardiographic changes in the most frequent endocrine disorders associated with cardiovascular diseases. Review of the literature.

作者信息

Costache Irina Iuliana, Ungureanu Maria Christina, Iliescu D, Petriş A, Botnariu Gina

出版信息

Rev Med Chir Soc Med Nat Iasi. 2015 Jan-Mar;119(1):18-22.

Abstract

Car- diovascular abnormalities associated with endocrine diseases are often frequent and due to complex relationships between endocrine glands (with internal secretion) and cardiovascular system (heart and vessels). Certain hormones secreted by the endocrine glands (particularly the thyroid and pituitary gland) excesses or deficiencies, are involved in morphogenesis, growth processes and activity regulation of cardiovascular system, most often in connection with the autonomic nervous system. There are also a lot of electrocardiographic changes caused by hormonal disorders that requires differential diagnosis and represents the source of erroneous diagnosis. Endocrine pathology occurred later than a heart disease, may worse heart function. Ignoring the cardiovascular events that may occur in the evolution of endo- crine diseases, may induce increased mortality due to cardiovascular complications.

摘要

与内分泌疾病相关的心血管异常往往很常见,这是由于内分泌腺(具有内分泌功能)与心血管系统(心脏和血管)之间存在复杂的关系。内分泌腺分泌的某些激素(特别是甲状腺和垂体分泌的激素)过多或过少,都会参与心血管系统的形态发生、生长过程和活动调节,且大多与自主神经系统有关。激素紊乱还会导致许多心电图变化,这需要进行鉴别诊断,也是误诊的根源。内分泌疾病发生在心脏病之后,可能会使心脏功能恶化。忽视内分泌疾病发展过程中可能出现的心血管事件,可能会因心血管并发症导致死亡率增加。

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