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血流动力学变化是格雷夫斯甲亢并发症(心力衰竭和致命性肝功能障碍)的主要促成因素:病例报告与分析

Hemodynamic variation is a dominant contributing factor of Graves' hyperthyroidism complication: Heart failure and fatal liver dysfunction, a case report and analysis.

作者信息

Li Zhiyuan, Wang Jinjing, Zeng Jing, Xue Jian, Li Xinyu, Su Jianbing, Fang Yi

机构信息

Department of Endocrinology and Metabolism Fifth Medical Center of Chinese PLA General Hospital Beijing China.

Department of Cardiovascular Medicine Fifth Medical Center of Chinese PLA General Hospital Beijing China.

出版信息

Clin Case Rep. 2022 Feb 3;10(2):e05289. doi: 10.1002/ccr3.5289. eCollection 2022 Feb.

Abstract

Tachycardia and atrial fibrillation, early symptoms of hyperthyroidism indicate significant hemodynamic variation in cardiovascular system, if left untreated and further deterioration in hemodynamics can result in chronic heart failure and liver dysfunction even a fatal event. We describe a female patient of Graves' hyperthyroidism to present the continuum of the pathophysiology development of the disease, to highlight the hemodynamic variation is a dominant contributing factor of Graves' hyperthyroidism complication, we wish to emphasize cardiac manifestations in the setting of thyrotoxicosis should be treated promptly and aggressively.

摘要

心动过速和心房颤动是甲状腺功能亢进的早期症状,表明心血管系统存在显著的血流动力学变化,如果不进行治疗,血流动力学的进一步恶化可能导致慢性心力衰竭和肝功能障碍,甚至引发致命事件。我们描述了一名格雷夫斯甲状腺功能亢进症女性患者,以展示该疾病病理生理发展的连续过程,强调血流动力学变化是格雷夫斯甲状腺功能亢进症并发症的主要促成因素,我们希望强调甲状腺毒症情况下的心脏表现应及时且积极地进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/feb9/8813664/f62ce32ad5bb/CCR3-10-e05289-g004.jpg

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