评估伊拉克女性甲状腺功能低下症心血管变化
Suaad Muhssen Ghazi1, Abdulkareem Ali Salman2, Abdulmahdi Abdulameer Jawad3
1Physiology and Medical Physics Department, College of Medicine, Al-Mustansiriyah University, Baghdad, Iraq.
Journal of medicine and life
|June 12, 2023
概括
甲状腺功能低下症显著影响心血管健康,导致腹功能障碍和心周溢出等异常. 早期发现和治疗甲状腺功能障碍对于预防心脏并发症至关重要.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 内部医学 内部医学
背景情况:
- 甲状腺功能低下症是可逆性心脏功能障碍的一个已知的原因.
- 关于伊拉克甲状腺功能低下患者的心脏参数的研究有限.
- 与甲状腺功能低下症相关的心血管变化需要进一步调查.
研究的目的:
- 为了研究甲状腺功能低下患者的心血管变化.
- 为了比较甲状腺功能低下和甲状腺功能良好的个体之间的心脏参数.
- 评估甲状腺功能障碍和心脏异常之间的关系.
主要方法:
- 一项涉及100名受试者的病例控制研究 (50名甲状腺下降,50名对照).
- 数据收集包括病史,BMI,脂质概况,甲状腺功能测试,心电图和心声回声图.
- 统计分析比较了两个组之间的参数.
主要成果:
- 与对照组相比,甲状腺功能下降患者的甲状腺功能测试显著不同.
- 在甲状腺功能低下患者中观察到高甘油和总胆固醇水平.
- 甲状腺功能低下组中发现了心电图和心声谱异常的更高患病率,包括腹功能障碍和心周溢血.
结论:
- 甲状腺功能低下会对心血管系统产生不利影响.
- 心脏功能障碍,包括腹功能障碍和心周溢出,在甲状腺功能下降患者中更为常见.
- 心血管影响的严重程度与甲状腺刺激激素 (TSH) 的升高相关.
相关概念视频
Assessment of the Cardiovascular System I: Subjective Data
375
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
375
Assessment of the Cardiovascular System IV: Auscultation
423
Cardiac auscultation is a clinical skill used to assess heart function and detect abnormalities. It involves listening to heart sounds at specific anatomical locations through a stethoscope.
Normal Heart Sounds
S1 (First Heart Sound)-
S1 is made by the closure of the mitral and tricuspid valves (atrioventricular valves), marking the beginning of systole.
S2 (Second Heart Sound)-
S2 is made by the closure of the aortic and pulmonic valves (semilunar valves), marking the end of the systole.
Normal Heart Sounds
S1 (First Heart Sound)-
S1 is made by the closure of the mitral and tricuspid valves (atrioventricular valves), marking the beginning of systole.
S2 (Second Heart Sound)-
S2 is made by the closure of the aortic and pulmonic valves (semilunar valves), marking the end of the systole.
423
Assessment of the Cardiovascular System II: Inspection
299
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
299
Hypertension III: Clinical Manifestations and Diagnostic Studies
33
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
33
Cardiovascular System Abnormal Findings I: Inspection and Palpation
452
In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
Abnormal findings observed during an inspection
452
Rheumatic Heart Disease IV: Nursing Management
23
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
23


