Geisthövel W, Perschke B, Hehrmann R, Ködding R, von zur Mühlen A, Klein H
Klin Wochenschr. 1980 Jan 2;58(1):51-2. doi: 10.1007/BF01477145.
The changes of thyroid hormones and TSH in plasma of males in the early stage of myocardial infarction are described. Already on admission T3 was diminished and went on falling. On admission rT3 was elevated and reached its maximum after 19 hours. T4 and TSH did not show essential alterations. The results suggest that in the early stage of myocardial infarction a rapid shift of the monodeiodination of T4 to rT3 occurs instead of T3 with a quick decrease of T3 and increase of rT3 in the blood.
描述了男性心肌梗死早期血浆中甲状腺激素和促甲状腺激素（TSH）的变化。入院时T3就已降低并持续下降。入院时反三碘甲状腺原氨酸（rT3）升高，并在19小时后达到最大值。T4和TSH未显示出明显变化。结果表明，在心肌梗死早期，T4的单碘脱碘作用迅速转向rT3而非T3，导致血液中T3迅速减少而rT3增加。
