甲减临床表现复杂,可引起甲减性心脏病、心肌酶增高,尤以肌酸激酶(CK)增高为主,易误诊为冠心病、心肌梗死。可能与甲状腺激素减少、黏蛋白和黏多糖沉积引起心肌黏液水肿有关。故血脂、CK异常增高而其余心肌酶无明显变化者应考虑甲减性心脏病,及时行甲状腺功能测定,以免误诊漏诊。 Hypothyroidism clinical manifestations can cause hypothyroidism heart disease, myocardial enzymes increased, especially creatine kinase (CK) increased mainly misdiagnosed as coronary heart disease, myocardial infarction. May be associated with decreased thyroid hormone, mucin and mucopolysaccharide deposition caused by myocardial mucus edema. Therefore, blood lipids, CK anomalies increased while the remaining myocardial enzymes did not change significantly hypothyroidism should be considered heart disease, thyroid function test in time to avoid misdiagnosis.