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作者对10例无并发症的甲状腺机能亢进症(甲亢)和7例甲亢并心衰患者的血液动力学作了研究。对甲亢并心衰患者要排除其他并存的心脏病。凡有心脏疼痛或心电图证明有陈旧性心肌梗死的患者,以及动脉舒张压>100毫米汞柱,或临床证明有心瓣膜疾患者均予以排除,对可疑者作标准的左右心导管插入术,以排除并发的心脏疾患。因此本文所分析患者确为甲亢心衰患者。全部患者均于前一夜禁食和不再用药。结果如下: 心脏指数无合并症的甲亢平均心脏指数高于正常范围,肯定有“高排出量”状态存在;给与心得安后心脏指数下降,但仍保持增高,平均下降13.32％。甲亢心衰组开始时心脏指数在正常范围,给心得安2毫克后降至正常以下水平,平均下降30.92％。心率无心衰患者中开始时比有心衰患者要快些。给心得安后两组心率均下除。无合并症病例下降不显著,差别无统计学意义。另一组下降显著,差别
The authors studied the hemodynamics of 10 patients with hyperthyroidism without hyperthyroidism and 7 with hyperthyroidism and heart failure. Patients with hyperthyroidism and heart failure to exclude other co-exist heart disease. Patients with a history of heart pain or electrocardiographic evidence of old myocardial infarction, and patients with arterial diastolic blood pressure> 100 mmHg, or who have clinically proven valvular heart disease, are excluded from standard left and right cardiac catheterization for suspected individuals Concurrent heart disease. Therefore, the analysis of patients in this paper is indeed hyperthyroid heart failure patients. All patients were fasted overnight and no longer dosed. The results are as follows: cardiac index hyperthyroidism without complications, the average heart index higher than the normal range, there must be “high discharge” state exists; give heart after the safety index decreased, but still increased, with an average decrease of 13.32%. Hyperthyroid heart failure group at the beginning of the heart index in the normal range, to the peace of mind after 2 mg dropped to below normal levels, an average decrease of 30.92%. Patients with heart failure without heart failure start faster than those with heart failure. After giving peace of mind both groups were given heart rate. There was no significant decline in cases without complications, the difference was not statistically significant. The other group dropped significantly, the difference