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心力衰竭中的甲状腺异常。

Thyroid Abnormalities in Heart Failure.

机构信息

Department of Biological Sciences and Geology, Queensborough Community College, City University of New York, 222-05 56th Avenue, Bayside, NY 11364, USA.

NYU School of Medicine, 555 Broadhollow Road, Suite 229, Melville, NY 11747, USA.

出版信息

Heart Fail Clin. 2020 Jan;16(1):1-9. doi: 10.1016/j.hfc.2019.08.002.

DOI:10.1016/j.hfc.2019.08.002
PMID:31735307
Abstract

The effects of hyperthyroidism and hypothyroidism on the heart and cardiovascular system are well documented. It has also been shown that various forms of heart disease including but not limited to congenital, hypertensive, ischemic, cardiac surgery, and heart transplantation cause an alteration in thyroid function tests including a decrease in serum liothyronine (T). This article discusses the basic science and clinical data that support the hypothesis that these changes pose pathophysiologic and potential novel therapeutic challenges.

摘要

甲状腺功能亢进和甲状腺功能减退对心脏和心血管系统的影响已有充分的记载。此外,各种形式的心脏病,包括但不限于先天性心脏病、高血压性心脏病、缺血性心脏病、心脏手术和心脏移植,都会导致甲状腺功能测试结果发生变化,包括血清三碘甲状腺原氨酸(T3)水平降低。本文讨论了支持这一假说的基础科学和临床数据,即这些变化构成了病理生理学和潜在的新型治疗挑战。

相似文献

1
Thyroid Abnormalities in Heart Failure.心力衰竭中的甲状腺异常。
Heart Fail Clin. 2020 Jan;16(1):1-9. doi: 10.1016/j.hfc.2019.08.002.
2
Thyroid Abnormalities in Heart Failure.心力衰竭中的甲状腺异常。
Cardiol Clin. 2022 May;40(2):139-147. doi: 10.1016/j.ccl.2021.12.002.
3
Thyroid hormone metabolism in patients with congestive heart failure: the low triiodothyronine state.充血性心力衰竭患者的甲状腺激素代谢:低三碘甲状腺原氨酸状态
Thyroid. 2002 Jun;12(6):511-5. doi: 10.1089/105072502760143908.
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Thyroid Disorders and Prognosis in Chronic Heart Failure: A Long-Term Follow-Up Study.甲状腺疾病与慢性心力衰竭预后:一项长期随访研究。
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The Management of Thyroid Abnormalities in Chronic Heart Failure.甲状腺功能异常的慢性心力衰竭管理。
Heart Fail Clin. 2019 Jul;15(3):393-398. doi: 10.1016/j.hfc.2019.02.008. Epub 2019 Apr 5.
6
Effects of nonthyroidal illness on thyroid function.非甲状腺疾病对甲状腺功能的影响。
Med Clin North Am. 1985 Sep;69(5):899-911. doi: 10.1016/s0025-7125(16)30996-8.
7
Persistence of thyroid hormones disorders in chronic heart failure outpatients: "heart hypothyroidism".慢性心力衰竭门诊患者甲状腺激素紊乱的持续存在:“心脏性甲状腺功能减退症”
Int J Cardiol. 2013 Sep 1;167(5):2359-60. doi: 10.1016/j.ijcard.2012.11.058. Epub 2012 Dec 7.
8
Thyroid disease and the cardiovascular system.甲状腺疾病与心血管系统。
Endocrinol Metab Clin North Am. 2014 Jun;43(2):517-28. doi: 10.1016/j.ecl.2014.02.005.
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Thyroid function tests.甲状腺功能测试。
Am Fam Physician. 1980 May;21(5):116-20.
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Mechanisms in endocrinology: Heart failure and thyroid dysfunction.内分泌学机制:心力衰竭与甲状腺功能障碍。
Eur J Endocrinol. 2012 Nov;167(5):609-18. doi: 10.1530/EJE-12-0627. Epub 2012 Sep 6.

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Correlation between ultrasound characteristics of thyroid microcarcinoma and levels of thyroid-stimulating hormone and vascular endothelial growth factor.甲状腺微小癌超声特征与促甲状腺激素及血管内皮生长因子水平的相关性
Am J Transl Res. 2025 Mar 15;17(3):1938-1949. doi: 10.62347/YRTV7362. eCollection 2025.
2
Thyroid dysfunction in pediatric Fontan patients is associated with unfavorable hemodynamic status and severity of protein-losing enteropathy: A report from the Fontan care network.小儿Fontan手术患者的甲状腺功能障碍与不良血流动力学状态及蛋白丢失性肠病的严重程度相关:来自Fontan护理网络的报告
Int J Cardiol Congenit Heart Dis. 2023 Sep 12;13:100475. doi: 10.1016/j.ijcchd.2023.100475. eCollection 2023 Sep.
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Rapid progression of heart failure secondary to radioactive iodine treatment of hyperthyroidism: A case report.
放射性碘治疗甲状腺功能亢进继发心力衰竭的快速进展:一例报告。
World J Clin Cases. 2023 Aug 6;11(22):5316-5321. doi: 10.12998/wjcc.v11.i22.5316.
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Cardiovascular and Neuronal Consequences of Thyroid Hormones Alterations in the Ischemic Stroke.缺血性卒中中甲状腺激素改变的心血管和神经后果
Metabolites. 2022 Dec 23;13(1):22. doi: 10.3390/metabo13010022.
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Analysis of the Incidence of Euthyroid Sick Syndrome in Comprehensive Intensive Care Units and Related Risk Factors.综合性重症监护病房中甲状腺功能正常病态综合征的发生率及相关危险因素分析。
Front Endocrinol (Lausanne). 2021 Jun 9;12:656641. doi: 10.3389/fendo.2021.656641. eCollection 2021.
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Subclinical hypothyroidism or isolated high TSH in hospitalized patients with chronic heart-failure and chronic renal-failure.慢性心力衰竭和慢性肾衰竭住院患者的亚临床甲状腺功能减退症或孤立性高 TSH。
Sci Rep. 2021 May 26;11(1):10976. doi: 10.1038/s41598-021-90193-8.
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Clinical phenotypes and prognosis of thyrotoxic heart failure and cardiomyopathy in patients hospitalized for acute heart failure.住院治疗急性心力衰竭患者中甲状腺功能亢进性心力衰竭和心肌病的临床表型和预后。
ESC Heart Fail. 2021 Aug;8(4):2776-2783. doi: 10.1002/ehf2.13347. Epub 2021 May 1.
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Malignant Arrhythmias as the Unmasked Manifestation of Thyroid Storm.恶性心律失常作为甲状腺风暴的隐匿表现
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A Case of Profound Hypothyroidism Presenting with Hypertensive Emergency and Large Amount of Pericardial Effusion.一例表现为高血压急症和大量心包积液的重度甲状腺功能减退症。
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