现将甲状腺功能减退症误诊为急性心肌梗死1例分析如下。1病历摘要男,49岁。因乏力、嗜睡、大便秘结、体重增加3个月入院。有时伴有面部水肿,无胸闷、心悸,无咳嗽、气促,无精神异常。入院前20 d余在外院就诊,查心肌酶明显增高,CK 1 647 U/L,CK-M B 45 U/L,考虑冠心病、心肌梗死, Now hypothyroidism misdiagnosed as acute myocardial infarction in 1 case analyzed as follows. 1 medical record summary male, 49 years old. Due to fatigue, lethargy, constipation, weight gain 3 months admission. Sometimes accompanied by facial edema, no chest tightness, heart palpitations, no cough, shortness of breath, no mental disorders. 20 d before admission to the hospital for treatment, check myocardial enzyme was significantly elevated CK 1 647 U / L, CK-M B 45 U / L, consider coronary heart disease, myocardial infarction,