胺碘酮与甲巯咪唑治疗甲状腺功能亢进症伴发的心房颤动
Treatment of atrial fibrillation associated with hyperthyroidism by amiodarone and methimazole.
作者信息
Cauchie P, Decaux G, Unger J
机构信息
Department of Internal Medicine, University Hospital Erasme, Free University of Brussels, Belgium.
出版信息
Int J Cardiol. 1988 Apr;19(1):123-4. doi: 10.1016/0167-5273(88)90199-4.
We treated a 78-year-old patient with hyperthyroidism and atrial fibrillation with amiodarone 1200 mg/day for 3 days and methimazole 60 mg/day. Sinus rhythm was restored within 3 days and serum levels of triiodothyroxine returned to normal within 4 days. A transient increase in serum rT3 concentrations was observed. Amiodarone associated with methimazole was useful in the management of atrial fibrillation and hyperthyroidism in our patient.
我们对一名78岁患有甲状腺功能亢进和心房颤动的患者进行治疗，给予其每天1200毫克胺碘酮，持续3天，以及每天60毫克甲巯咪唑。3天内恢复窦性心律，4天内血清三碘甲状腺原氨酸水平恢复正常。观察到血清反三碘甲状腺原氨酸浓度短暂升高。在我们的患者中，胺碘酮与甲巯咪唑联合使用对心房颤动和甲状腺功能亢进的治疗有效。
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