运动压力回声心电图的有用性,以识别与甲状腺功能障碍相关的掩盖性肺高血压
Yu Noguchi1, Makoto Miyake1, Hibiki Mima1,2
1Department of Cardiology, Tenri Hospital, Tenri, Japan.
Journal of cardiology cases
|March 6, 2026
概括
甲状腺功能障碍会导致肺高血压 (PH). 运动压力心声扫描 (ESE) 可以有效地识别这种情况,并监测运动性呼吸不良患者的治疗反应.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
背景情况:
- 甲状腺功能障碍是肺高血压 (PH) 的已知原因之一.
- 患有甲状腺功能障碍的患者可能会出现不明原因的运动性呼吸不良.
- 静止心声扫描可能无法揭示这些患者PH的原因.
研究的目的:
- 报告与甲状腺功能障碍相关的肺高血压病例.
- 评估运动压力心声学 (ESE) 在高甲状腺患者的PH诊断和监测中的实用性.
主要方法:
- 一名51岁的患有格雷夫斯病和运动性呼吸障碍的妇女接受了休息和运动压力心声扫描 (ESE).
- 休息回声心脏图显示心脏功能正常,但有轻微的三回血压梯度 (TRPG).
- 在运动期间,ESE显示了TRPG的升高,暗示PH.
主要成果:
- 这名患者被诊断为与甲状腺功能障碍相关的PH.
- 在用蒂亚马治疗后,获得了良好的甲状腺状况,症状有所改善.
- 后处理ESE显示TRPG的显著减少,表明PH的改善.
结论:
- 运动压力回声心脏图 (ESE) 是一种有价值的非侵入性工具,用于识别甲状腺功能高的患者的肺高血压 (PH).
- 通过ESE,可以有效地监测甲状腺功能增强症治疗后的PH治疗过程.
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