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心肌病的一种罕见病因:一例因硒缺乏导致严重心肌病并在补充硒后病情改善的病例

A Rare Cause of Cardiomyopathy: A Case of Selenium Deficiency Causing Severe Cardiomyopathy that Improved on Supplementation.

作者信息

Munguti Cyrus M, Al Rifai Mahmoud, Shaheen Wassim

机构信息

Internal Medicine, University of Kansas School of Medicine - Wichita.

Heartland Cardiology, University of Kansas School of Medicine - Wichita.

出版信息

Cureus. 2017 Aug 29;9(8):e1627. doi: 10.7759/cureus.1627.

Abstract

Selenium-associated cardiomyopathy is a rare but potentially fatal condition that has previously been described in the literature. Once identified, the condition may be reversible via supplementation. Gastrointestinal operations, especially bariatric and bowel resection, are increasingly associated with multiple deficiencies, including a deficiency of the micronutrient selenium (Se). This case report presents a patient with Se-deficient cardiomyopathy whose condition improved due to Se replacement.

摘要

硒相关性心肌病是一种罕见但可能致命的疾病,此前已有文献报道。一旦确诊,通过补充硒,病情可能会逆转。胃肠道手术,尤其是减肥手术和肠道切除术,越来越多地与多种营养素缺乏相关,包括微量营养素硒(Se)缺乏。本病例报告介绍了一名患有硒缺乏性心肌病的患者,其病情因补充硒而改善。

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本文引用的文献

1
Bilateral leg oedema after bariatric surgery: A selenium-deficient cardiomyopathy.减重手术后双侧腿部水肿:硒缺乏性心肌病。
Obes Res Clin Pract. 2017 Sep-Oct;11(5):622-626. doi: 10.1016/j.orcp.2017.05.004. Epub 2017 Jun 10.
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Selenoproteins and cardiovascular stress.硒蛋白与心血管应激。
Thromb Haemost. 2015 Mar;113(3):494-504. doi: 10.1160/TH14-07-0603. Epub 2014 Oct 30.
5
The prevalence of Keshan disease in China.中国克山病的患病率。
Int J Cardiol. 2013 Sep 30;168(2):1121-6. doi: 10.1016/j.ijcard.2012.11.046. Epub 2012 Dec 4.
6
Heart failure secondary to selenium deficiency, reversible after supplementation.硒缺乏导致的心力衰竭,补充硒后可逆转。
Int J Cardiol. 2010 May 28;141(2):e26-7. doi: 10.1016/j.ijcard.2008.11.095. Epub 2008 Dec 6.
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Cardiomyopathy in association with selenium deficiency: a case report.与硒缺乏相关的心肌病:一例报告
JPEN J Parenter Enteral Nutr. 2002 Jan-Feb;26(1):63-6. doi: 10.1177/014860710202600163.

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