在患有心房的患者中,发生甲状腺功能障碍的风险更高
Pang-Shuo Huang1,2,3, Jen-Fang Cheng3,4,5, Jien-Jiun Chen1
1Division of Cardiology, Department of Internal Medicine, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin 640, Taiwan.
The Journal of clinical endocrinology and metabolism
|August 11, 2023
概括
心房动 (AF) 可能预测甲状腺功能障碍,年龄较小和女性性别是关键风险因素. 一个新的SAD HEC2评分显示了AF患者发生甲状腺功能增强症的预测能力.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 流行病学 流行病学
背景情况:
- 心房动 (AF) 与甲状腺功能增强症的风险增加有关.
- 导致这种风险增加的具体因素尚不清楚.
研究的目的:
- 调查心房动 (AF) 是否可以预测甲状腺功能增强症的发展.
- 在AF患者中识别与甲状腺功能障碍症相关的危险因素.
主要方法:
- 一个回顾性队列研究,涉及8552名被诊断患有AF但没有先前存在的甲状腺功能障碍的患者.
- 进行了后续评估,以确定甲状腺功能障碍的新诊断.
主要成果:
- 患上甲状腺功能障碍的患者年轻,更有可能是女性,并患上较少的并发症.
- 在患有甲状腺功能障碍的患者中观察到较低的CHADS2得分.
- 独立预测因素包括年龄较小,女性性别,充血性心力衰竭,高血压,糖尿病,非末期病 (ESRD) 状态和较低的CHADS2分数.
- 一个新的风险评分,SAD HEC2,显示出对发生的甲状腺功能增强症有很好的预测能力.
结论:
- 心房动 (AF) 可能是甲状腺功能增强症的前体.
- 该研究确定了关键的临床风险因素,并引入了SAD HEC2评分,用于预测AF患者的甲状腺功能障碍症.
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