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房颤是甲状腺功能亢进(甲亢)的常见合并症。作者观察到,在60岁以上的甲亢患者中,心律失常占40%以上。虽然有效的抗甲状腺治疗可使60%的患者自行恢复为窦性心律,但长时间持续存在的房颤常可造成机体栓塞,尤其是脑动脉的栓塞,甚至造成死亡。在Graves病合并房颤的病例中约有10％发生栓塞。近年来,作者使用大剂量~(131)Ⅰ治疗这样的病人,认为用此法迅速控制甲亢最有利于窦性节律的恢复。 患者和方法:75例Graves病患者均经心电图证实合并房颤。年龄38～81岁,平均62.7岁。对全
Atrial fibrillation is a common complication of hyperthyroidism (hyperthyroidism). The authors observed that arrhythmias account for more than 40% of patients with hyperthyroidism over the age of 60. Although effective anti-thyroid therapy can restore 60% of patients to sinus rhythm, long-lasting atrial fibrillation can often cause body embolism, especially cerebral artery embolization, and even cause death. About 10% of cases of Graves’ disease complicated by atrial fibrillation have embolism. In recent years, the author used high-dose 131I treatment of such patients, that the rapid control of hyperthyroidism with this method is most conducive to the recovery of sinus rhythm. Patients and Methods: 75 patients with Graves’ disease were confirmed by electrocardiogram with atrial fibrillation. Age 38 ~ 81 years old, average 62.7 years old. Right