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甲亢时由于甲状腺激素分泌过多,加强儿茶酚胺的作用,并直接作用于心肌和周围血管系统,临床约90%的甲亢患者有心脏表现,如:心动过速、心排血量增加等高动力循环征象;房早、房颤、传导阻滞等心律失常以及心脏肥大、心力衰竭等表现.但临床以心绞痛为突出表现的甲亢患者报道较少.现将我院收治的9例甲亢伴心绞痛患者报告如下.1 临床资料1.1 对象 病例选自1982年7月～1996年3月住院患者.此期间共有甲亢患者407例,甲亢心脏病69例,其中9例有典型顽固性心绞痛发作,占所有住院甲亢患者的2.21%,占甲亢心脏病的13%.9例甲亢伴心绞痛患者入选标准:①经临床及化验检查确诊为甲亢.②有
Hyperthyroidism due to excessive secretion of thyroid hormone to enhance the role of catecholamines and direct effect on the myocardium and the peripheral vascular system, about 90% of clinical hyperthyroid patients have cardiac manifestations, such as: tachycardia, cardiac output increased hyperdynamic circulation Signs of atrial fibrillation, atrial fibrillation, conduction block and other arrhythmias, and cardiac hypertrophy, heart failure, etc. However, clinical reports of angina pectoris hyperthyroidism is less reported in our hospital in 9 cases of hyperthyroidism with angina report As follows.1 Clinical data 1.1 Subjects were selected from July 1982 to March 1996 hospitalized patients during this period a total of 407 cases of hyperthyroidism, hyperthyroidism heart disease in 69 cases, of which 9 cases of typical refractory angina attacks, accounting for all hospitalized hyperthyroidism 2.21% of patients, accounting for 13% of hyperthyroid heart disease.9 cases of hyperthyroidism with angina patients selected criteria: ① clinical and laboratory examination confirmed hyperthyroidism ② have