甲状腺和心血管疾病
Sinem Başak Tan Öksüz1, Mustafa Şahin1
1Division of Endocrinology and Metabolism, Department of Internal Medicine, Faculty of Medicine, Ankara University, Ankara, Turkiye.
甲状腺激素,特别是活性三甲状腺素 (T3),显著影响心血管健康. 无论是明显的还是亚临床的甲状腺疾病都可能导致严重的心脏病和死亡率增加.
科学领域:
- 内分泌学 在内分泌学.
- 心脏病学 心脏病学
- 内部医学 内部医学
背景情况:
- 甲状腺调节许多身体系统,甲状腺激素调节心血管功能.
- 三iodothyronine (T3) 是活性甲状腺激素,通过基因组和非基因组途径影响心血管健康.
- 甲状腺上部疾病与心血管疾病和死亡率有关,包括心房动,心力衰竭和动脉样硬化.
研究的目的:
- 审查甲状腺功能障碍对心血管系统的影响.
- 为了突出 euthyroidism 对心血管健康的重要性.
- 讨论甲状腺亚临床疾病对心血管功能的影响.
主要方法:
- 对甲状腺疾病和心血管并发症研究的文献综述.
- 甲状腺激素影响心血管系统的机制的分析.
- 检查关于明显和亚临床甲状腺功能障碍的临床证据.
主要成果:
- 甲状腺功能障碍与心房动和心力衰竭有关.
- 甲状腺功能低下症的主要心血管并发症是动脉样硬化.
- 亚临床甲状腺疾病可能呈现与明显的甲状腺功能低下症相似的心血管异常,表明对即使是轻微的激素水平变化的敏感性.
结论:
- 恢复类甲状腺功能对于心血管功能至关重要,尽管并不总是可以实现.
- 亚临床甲状腺功能障碍需要注意,因为它可能对心血管产生影响.
- 管理亚临床甲状腺疾病的临床决策应考虑患者的年龄和现有的心血管疾病.
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