Department of Cardiovascular Disease, University of Minnesota Medical School, Minneapolis, MN, USA.
Department of Internal Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.
Curr Cardiol Rep. 2022 Aug;24(8):893-904. doi: 10.1007/s11886-022-01711-7. Epub 2022 May 30.
Thyroid disorders, especially hypothyroidism, are known to be associated with pericardial diseases. The aim of this paper is to review the current knowledge of the pericardial manifestations of hypothyroidism and hyperthyroidism.
Many reports have described associations between dysthyroidism, which encompasses hypothyroidism and hyperthyroidism, and several pericardial diseases, including acute pericarditis, constrictive pericarditis, pericardial effusion, and tamponade. The diagnosis of dysthyroidism-induced pericardial diseases consists of a combination of thyroid blood levels that fall outside of the normal range and the exclusion of other causes. Treatment of the thyroid disorder is key, along with treatment of the pericardial disease as recommended by the guidelines. Early recognition of the thyroid disorder is key in patients with pericardial diseases, since treating the underlying cause should assist resolution of the pericardial issues and ideally prevent recurrence and possible future complications of suboptimally treated pericarditis or pericardial effusions.
甲状腺疾病，特别是甲状腺功能减退症，与心包疾病有关。本文旨在综述甲状腺功能减退症和甲状腺功能亢进症的心包表现的最新知识。
许多报告描述了甲状腺功能障碍（包括甲状腺功能减退症和甲状腺功能亢进症）与多种心包疾病之间的关联，包括急性心包炎、缩窄性心包炎、心包积液和填塞。甲状腺功能障碍引起的心包疾病的诊断包括甲状腺血液水平超出正常范围和排除其他原因的组合。治疗甲状腺疾病是关键，同时还需要根据指南建议治疗心包疾病。在有心包疾病的患者中，早期识别甲状腺疾病是关键，因为治疗潜在病因应有助于解决心包问题，并理想情况下预防心包炎或心包积液治疗不充分的复发和可能的未来并发症。
