心力衰竭的内分泌病因：心内科医生的临床基础。
Endocrine causes of heart failure: A clinical primer for cardiologists.
机构信息
Department of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, India.
Department of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, India.
出版信息
Indian Heart J. 2021 Jan-Feb;73(1):14-21. doi: 10.1016/j.ihj.2020.11.003. Epub 2020 Nov 11.
Heart failure (HF) may be a presenting manifestation of a few endocrine disorders and should be considered in evaluation of heart failure causes. This clinically oriented review is an attempt to highlight the protean manifestations of heart failure in endocrine diseases which could present either as acute or chronic heart failure. Acute heart failure manifests as hypertensive crisis, Takotsubo syndrome, or as tachy/brady cardiomyopathies. Chronic heart failure could masquerade with features of hyperdynamic heart failure, or hypertrophic, restrictive or dilated cardiomyopathy. Rarely constrictive features or resistant heart failure could be the presenting feature. Isolated presentation as pulmonary hypertension and right heart failure are also documented. Good history-taking and physical examination with targeted investigations will help in the timely management for reversing the pathophysiology to a significant extent by appropriated management.
心力衰竭（HF）可能是一些内分泌疾病的表现，在评估心力衰竭病因时应予以考虑。本临床导向的综述旨在强调内分泌疾病中心力衰竭的多变表现，这些疾病可表现为急性或慢性心力衰竭。急性心力衰竭表现为高血压危象、心尖球囊样综合征或心动过速/心动过缓性心肌病。慢性心力衰竭可能表现为高动力性心力衰竭的特征，或肥厚型、限制型或扩张型心肌病。偶尔也会出现限制型或难治性心力衰竭的特征。孤立性肺动脉高压和右心衰竭也有报道。详细的病史采集和体格检查结合针对性的检查将有助于及时管理，在很大程度上通过适当的管理逆转病理生理学。
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