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目的进一步了解甲状腺功能亢进性心脏病(甲亢心)临床特点。方法回顾性分析甲亢心患者的临床资料。其中75例,男30例,女45例,年龄17～84岁,病程1月～30年;伴心功能衰竭47例(63%),心房纤颤47例(63%),病窦综合征2例(3%);左房扩大48例(66%),左室扩大3l例(43%),右房扩大30例(41%),右室扩大35例(47%),全心扩大18例(25%),二尖瓣返流48例,三尖瓣返流45例,主动脉瓣返流34例,伴肺动脉高压33例(44 mm Hg±7 mm Hg,左室射血分数60%±19%)。结论甲亢心临床表现多种多样,常规治疗效果欠佳的心脏病应常规筛查甲状腺功能以除外甲亢心;治疗的关键是甲亢。
Objective To further understand the clinical features of hyperthyroid heart disease (hyperthyroid heart). Methods The clinical data of patients with hyperthyroid heart were analyzed retrospectively. Among them 75 cases, 30 males and 45 females, aged 17-84 years, duration of 1 months to 30 years; with heart failure in 47 cases (63%), atrial fibrillation in 47 cases (63%), sick sinus syndrome 2 cases (3%), enlarged left atrium in 48 cases (66%), left ventricular enlargement in 31 cases (43%), right atrium enlargement in 30 cases (41%) and right ventricular enlargement in 35 cases (47% 18 cases (25%), 48 cases of mitral regurgitation, 45 cases of tricuspid regurgitation, 34 cases of aortic valve regurgitation, pulmonary hypertension with 33 cases (44 mm Hg ± 7 mm Hg, left ventricular ejection fraction 60% ± 19%). Conclusion The clinical manifestations of hyperthyroidism varied, conventional treatment of heart failure should be routine screening of thyroid function to exclude hyperthyroidism heart; the key to treatment is hyperthyroidism.