甲状腺毒症背景下心血管病理临床过程的特点

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引用次数: 0

摘要

甲状腺疾病话题的相关性在于,在过去5年中,它们在世界上,特别是在乌克兰的数量增加,以及各种形式的甲状腺病理的总频率,甚至在地方性甲状腺肿区之外,约占总发病率的20%。本文结合一个临床病例,对长期缺乏适当治疗的甲状腺毒症背景下心血管病理的诊断、治疗策略和临床过程特点等问题进行了探讨。甲状腺毒症可导致心血管系统早期并发症的发生,这些并发症决定了患者生活质量的进一步预后。甲状腺毒症对心脏的影响对老年人最为危险,甲状腺毒症对心脏的影响往往在老年人的临床表现中占主导地位。他们的诊断困难,除其他外,是由于经常没有眼病。当心房颤动发生时,心脏症状可能会增加,表明心力衰竭的加速发展。因此,甲状腺毒症背景下的心血管疾病患者的管理有其特殊性,在治疗时应考虑到这一点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Features of the clinical course of cardiovascular pathology on the background of thyrotoxicosis
Relevance of the topicofthyroid diseases is duetothein crease in their number in the world and in Ukraine inparticular over the past 5 years, as well as the fact that the total frequency of various forms of thyroid pathology, even outside the zones of endemic goiter, is about 20% of the total morbidity. On the example of a clinical case, the question of diagnostics, management tactics and features of the clinical course of cardiovascular pathology on the background of thyrotoxicosis in the absence of adequate therapy for a long time are considered. Thyrotoxicosis leads to the occurrence of early complications of the cardiovascular system, which determine the further prognosis of the patient’s quality of life. The heart effects of Thyrotoxicosisare most dangerous for the elderly, and they (the heart effects of Thyrotoxicosis) often dominate the clinical picture in them (the elderly). Difficulties in their diagnosis are due, among other things, to the frequent absence of ophthalmopathy. When atrial fibrillation develops, the presence of cardiac symptoms may increase, indicating an accelerated development of heart failure. Therefore, the management of patients with cardiovascular disease on the background of thyrotoxicosis has its own peculiarities, which should be taken into account during treatment.
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