Symons C, Richardson P J, Feizi O
Thorax. 1974 Nov;29(6):713-9. doi: 10.1136/thx.29.6.713.
, , 713-719. The combination of hypertrophic cardiomyopathy and hyperthyroidism gives rise to a complex clinical picture as some of the symptoms and signs may be common to both conditions. The presentation and investigation of three patients are reported. In one patient there was evidence of progression from the hypertrophic obstructive phase to that associated with loss of outflow tract obstruction. The echocardiogram was especially useful in assessing the presence or absence of hypertrophic disease in the thyrotoxic subject. It is suggested that the long continued high-output circulatory state in clinically undetected hyperthyroidism may prove to be a stimulus for unrestrained cardiac muscle hypertrophy.
，，713 - 719。肥厚型心肌病与甲状腺功能亢进症并存会导致复杂的临床表现，因为某些症状和体征在这两种病症中可能是共有的。本文报告了三名患者的临床表现及检查情况。其中一名患者有证据显示从肥厚性梗阻阶段进展到与流出道梗阻消失相关的阶段。超声心动图在评估甲状腺毒症患者是否存在肥厚性疾病方面特别有用。有人提出，临床上未被发现的甲状腺功能亢进症中长期持续的高输出循环状态可能会成为心肌不受控制地肥厚的刺激因素。
