Lee T M, Kuo S H, Lee Y T
Center for Cardiovascular Research, College of Medicine, National Taiwan University, Taipei.
Am J Med Sci. 1996 Nov;312(5):246-8. doi: 10.1097/00000441-199611000-00011.
Systolic heart failure because of hyperthyroidism in patients without preexisting heart disease is not common. Thyrotoxic systolic heart failure is rarely diagnosed during life. Reports about thyrotoxicosis-related systolic heart failure have been diagnosed postmortem. However, antemortem diagnosis of this fatal disease has important clinical implications because if detected early, thyrotoxicosis-related systolic heart failure is reversible. Here is a report a patient with Graves' disease, systolic heart failure, and deep jaundice, which resolved after the treatment of antithyroid drugs.
在没有既往心脏病的患者中,因甲状腺功能亢进导致的收缩性心力衰竭并不常见。甲状腺毒症性收缩性心力衰竭在生前很少被诊断出来。关于甲状腺毒症相关性收缩性心力衰竭的报道多为死后诊断。然而,这种致命疾病的生前诊断具有重要的临床意义,因为如果早期发现,甲状腺毒症相关性收缩性心力衰竭是可逆的。本文报告一例患有格雷夫斯病、收缩性心力衰竭和深度黄疸的患者,在接受抗甲状腺药物治疗后病情得到缓解。