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甲状腺激素测量正常的老年房颤患者中的甲状腺功能亢进症

Hyperthyroidism in elderly patients with atrial fibrillation and normal thyroid hormone measurements.

作者信息

Bruce S A, Rangedara D C, Lewis R R, Corless D

出版信息

J R Soc Med. 1987 Feb;80(2):74-6. doi: 10.1177/014107688708000205.

Abstract

The results of a study to investigate possible underdiagnosis of hyperthyroidism in the elderly are reported. Four out of 24 patients with atrial fibrillation for which there was no obvious cause and who had normal thyroid hormone measurements were found to have subnormal thyrotropin responses to thyrotropin-releasing hormone and abnormal thyroid scans. The implications of this finding are discussed.

摘要

本文报告了一项关于调查老年人甲状腺功能亢进可能漏诊情况的研究结果。在24例无明显病因且甲状腺激素测量值正常的房颤患者中,有4例被发现对促甲状腺激素释放激素的促甲状腺素反应低于正常水平,且甲状腺扫描异常。文中讨论了这一发现的意义。

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