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格雷夫斯病中的心脏自主神经病变:吸烟和年龄作为预测因素
José Victor Roveroni Zuntini1, Yeelen Ballesteros Atala2, Maria Cândida Ribeiro Parisi2
1School of Medical Sciences, Pontifical Catholic University of Campinas, Campinas-SP, Brazil.
概括
格雷夫斯病 (GD) 患者显示有20%的心脏自主神经病变 (CAN) 的患病率. 年龄和吸烟是危险因素,而TRAb水平可能会提供保护,强调需要评估GD中的CAN.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 自主神经系统研究 自主神经系统研究
背景情况:
- 格雷夫斯病 (GD) 导致超代谢状态,影响心脏功能和自主神经系统.
- 心脏自主神经病变 (CAN) 是一种潜在的并发症,需要在GD患者中进行表征.
研究的目的:
- 调查患有格雷夫斯病 (GD) 的患者心脏自主神经病变 (CAN) 的患病率和特征.
- 为了确定与GD患者中CAN存在相关的因素.
主要方法:
- 通过自主功能测试 (心血管反射,心率变化) 和心声回声学,评估euthyroid GD患者和健康对照.
- 评估参数包括深呼吸,瓦萨尔瓦,静止测试和心率变化频段 (HF,LF,VLF).
主要成果:
- 在20%的GD患者和14%的对照组中诊断出CAN (P=0.7479).
- 刚开始和已确定的CAN分别在13.3%和6.7%的GD患者中观察到.
- 年龄和吸烟与癌症有关;诊断时较高的TRAb水平降低了癌症风险.
结论:
- 这项研究发现,甲状腺关节病患者中CAN的患病率为20%,这表明自主神经系统发生了显著的变化.
- 心脏自主神经病变是GD的一个重要并发症,需要临床评估.
- 吸烟成为癌症的预测因素,加剧了与GD相关的疾病.
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