硫胺素与心力衰竭：现代型脚气性心脏病的疑难病例
Thiamine and Heart Failure: Challenging Cases of Modern-Day Cardiac Beriberi.
作者信息
Helali Jonathan, Park Sandy, Ziaeian Boback, Han Janet K, Lankarani-Fard Azadeh
机构信息
Department of Medicine, Hospitalist Division, VA Greater Los Angeles Healthcare System, Los Angeles, CA.
Department of Medicine, Hospitalist Division, David Geffen School of Medicine at University of California, Los Angeles, CA.
出版信息
Mayo Clin Proc Innov Qual Outcomes. 2019 May 27;3(2):221-225. doi: 10.1016/j.mayocpiqo.2019.03.003. eCollection 2019 Jun.
Cardiac beriberi, or heart failure due to thiamine deficiency, is considered rare in the developed world. The diagnosis is often only considered in limited populations such as those with chronic alcoholism. Alternatively, the disease can be mislabeled as "alcoholic cardiomyopathy" or "nonischemic cardiomyopathy." The following 2 cases illustrate the need to expand our vigilance to other at-risk populations.
心脏型脚气病，即因硫胺素缺乏引起的心力衰竭，在发达国家被认为较为罕见。通常只有在特定人群中才会考虑该诊断，比如慢性酒精中毒患者。另外，这种疾病可能会被误诊为“酒精性心肌病”或“非缺血性心肌病”。以下两个病例表明，我们需要提高对其他高危人群的警惕。
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