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[慢性缺血性心脏病和心律失常患者的甲状腺功能及促甲状腺功能]

[The function of the thyroid and thyrotropic function in patients with chronic ischemic heart disease and rhythm disorders].

作者信息

Selivonenko V G, Zaika I V

出版信息

Lik Sprava. 1998 Jan-Feb(1):81-3.

PMID:9621622
Abstract

Measured in 119 patients with chronic heart disease (exercise-induced angina in 62, cardiosclerosis in 57 cases) presenting with arrhythmias (extrasystolic arrhythmia, permanent form cardiac fibrillation, association of cardiac fibrillation with ventricular arrhythmia, with n = 58, 38, 23 respectively) were blood levels of thyroid-stimulating hormone (TSH), triiodothyronine (T3) and thyroxin (T4) using immunoradiometric assay. In extrasystolic arrhythmia, permanent form cardiac fibrillation, there were no deviations from the norm in the basal TSH blood levels, reduction in (T3) as well as augmentation of (T4) in cardiac fibrillation. With permanent form cardiac fibrillation associated with ventricular arrhythmia the TSH blood level got decreased, the (T3) and (T4) content undergoing no changes The posttreatment blood content of (T3) tended to augment in extrasystolic arrhythmia.

摘要

对119例患有慢性心脏病(62例为运动诱发型心绞痛,57例为心脏硬化)且伴有心律失常(分别为早搏性心律失常、持续性房颤、房颤合并室性心律失常,n分别为58、38、23)的患者,采用免疫放射分析测定其促甲状腺激素(TSH)、三碘甲状腺原氨酸(T3)和甲状腺素(T4)的血药浓度。在早搏性心律失常、持续性房颤中,基础TSH血药浓度无偏离正常范围的情况,房颤时T3降低以及T4升高。在房颤合并室性心律失常时,TSH血药浓度降低,T3和T4含量无变化。早搏性心律失常患者治疗后T3血药浓度有升高趋势。

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