甲状腺疾病和心脏
1Department of Medicine and the Feinstein Institute for Medical Research, North Shore University Hospital, 350 Community Dr, Manhasset, NY 11030, USA. iklein@nshs.edu
Circulation
|October 10, 2007
概括
甲状腺疾病显著影响心血管健康,导致心脏功能和血压发生变化. 恢复正常的甲状腺水平往往可以逆转这些有害影响.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 甲状腺学 甲状腺学
背景情况:
- 甲状腺功能障碍,包括甲状腺功能过高和甲状腺功能低下,深刻影响心血管功能.
- 了解甲状腺激素作用的细胞机制解释了心血管变化,如心脏输出,收缩率,血压,血管抵抗和心律失常的改变.
- 识别甲状腺疾病对心脏的影响至关重要,因为正常化甲状腺功能通常会逆转血液动力学异常.
研究的目的:
- 审查甲状腺疾病的心血管表现.
- 讨论诊断甲状腺功能测试和治疗,以实现一个euthyroid状态.
- 在心力衰竭和阿米奥达龙诱导的甲状腺功能障碍中检查甲状腺激素代谢.
主要方法:
- 文献综述侧重于细胞机制,临床发现,诊断测试和甲状腺疾病相关心血管问题的治疗.
- 在慢性心力衰竭中分析甲状腺激素代谢.
- 对阿米奥达龙诱导的甲状腺功能障碍的管理策略的审查.
主要成果:
- 甲状腺功能障碍导致显著的心血管变化,包括心脏输出,收缩性,血压和心律的改变.
- 适当的甲状腺功能测试有助于诊断,治疗以恢复甲状腺状况可以逆转心血管异常.
- 慢性心力衰竭会改变甲状腺激素代谢,而阿米奥达龙的使用可以诱导甲状腺功能测试异常,需要特殊的管理.
结论:
- 甲状腺疾病的心血管影响是显著的,并且在适当的治疗下是可逆的.
- 通过甲状腺功能测试进行准确的诊断,并实现平衡甲状腺状态是管理这些疾病的关键.
- 对于心力衰竭和阿米奥达龙使用中的甲状腺功能障碍需要特别考虑.
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