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[甲状腺功能亢进症与二尖瓣脱垂:对104例甲状腺功能亢进患者和对照人群进行的二维超声心动图对比研究]

[Hyperthyroidism and mitral valve prolapse: comparative two-dimensional echocardiography study of a hyperthyroid and a control population totalling 104 patients].

作者信息

Roussanne A, Archambeaud-Mouveroux F, Labrousse F, Jadaud J M, Laroumagne G, Doumeix J J, Laubie B

出版信息

Ann Med Interne (Paris). 1985;136(6):467-9.

PMID:4083637
Abstract

Recent studies seem to demonstrate a higher incidence of mitral valve prolapse in hyperthyroid patients. A complete cardiological check-up including 2D echocardiography was performed in 52 hyperthyroid patients and 52 control subjects. In the hyperthyroid population, mitral valve prolapse was diagnosed 3 times, 5,8 p. 100 of cases. These 3 subjects were female; hyperthyroidism was nodular in 2 cases: Grave's disease was only present in 1 case. Hyperthyroidism was very active at the time of the echocardiographic study in those 3 patients. In the control group, mitral valve prolapse was observed in 4 cases (7.7 p. 100). These 4 patients were all female. The results of this study do not show a higher incidence of mitral valve prolapse in the hyperthyroid population than in the control group. Grave's disease was not more prevalent in hyperthyroid patients with mitral valve prolapse. On the other hand, there were significantly more female patients with MVP in both the hyperthyroid and control populations.

摘要

近期研究似乎表明,甲状腺功能亢进患者二尖瓣脱垂的发生率较高。对52例甲状腺功能亢进患者和52例对照者进行了包括二维超声心动图在内的全面心脏检查。在甲状腺功能亢进人群中,诊断出3例二尖瓣脱垂,占病例的5.8‰。这3例患者均为女性;2例为结节性甲状腺功能亢进,仅1例为格雷夫斯病。在进行超声心动图检查时,这3例患者的甲状腺功能亢进非常活跃。在对照组中,观察到4例二尖瓣脱垂(7.7‰)。这4例患者均为女性。本研究结果未显示甲状腺功能亢进人群中二尖瓣脱垂的发生率高于对照组。格雷夫斯病在二尖瓣脱垂的甲状腺功能亢进患者中并不更常见。另一方面,甲状腺功能亢进和对照组中患有二尖瓣脱垂的女性患者明显更多。

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