评估患有心力衰竭的患者甲状腺功能障碍的发生率及其对其预后的影响
Anubha Srivastava1, Dheeraj Kumar Yadav2
1Professor, Department of Medicine, Moti Lal Nehru Medical College, Prayagraj, Uttar Pradesh, Corresponding Author.
The Journal of the Association of Physicians of India
|March 15, 2025
概括
甲状腺功能障碍常见于心力衰竭 (HF) 患者,影响预后. 查甲状腺问题的HF患者可能会改善结果.
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:
- 心力衰竭 (HF) 是一个复杂的临床综合征.
- 甲状腺功能障碍越来越多地被认为是一种影响心血管健康的并发症.
- 甲状腺炎和甲状腺疾病之间的相互作用需要进一步调查.
研究的目的:
- 为了确定心力衰竭患者甲状腺功能障碍的患病率.
- 评估甲状腺功能障碍对HF患者预后的影响,包括住院时间.
主要方法:
- 一项前性研究招募了185名被诊断患有HF的成年患者.
- 评估包括人口统计,临床数据,血液学,生物化学和甲状腺功能测试 (TFT).
- 甲状腺功能障碍是由特定的甲状腺刺激激素 (TSH) 水平来定义的;使用SPSS分析的数据.
主要成果:
- 甲状腺疾病存在于28.6%的HF患者中 (22.2%的甲状腺功能低下,6.5%的甲状腺功能过高).
- 甲状腺功能障碍与较高的NYHA类,高血清尿素和肌素以及较低的血红蛋白相关.
- 甲状腺疾病与年龄,性别或BNP之间没有发现显著的关联;住院时间没有显著差异.
结论:
- 甲状腺疾病在HF患者中非常普遍,并显著影响预后.
- 患有甲状腺功能障碍的患者出现了较高的贫血率,高级NYHA类和功能障碍.
- 建议对甲状腺功能障碍的HF患者进行查,以潜在地改善患者的治疗结果.
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