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甲状腺机能亢进(以下简称甲亢)是一种常见的内分泌疾病。心血管症状和体征常是本病的典型表现之一。患者常有心悸、心动过速、心律失常、心脏肥厚和扩大,心脏收缩力、心脏排出量和脉压均可增加,偶可发生充血性心力衰竭。有关甲亢能否引起心脏病问题曾有过许多争论。大约在1938年以前的报导多认为单独甲亢不会引起心脏病,而是由于其他心脏病经常地同时存在,且为甲亢所诱发和加重;1938年以后大多数学者则主张单独甲亢确能引起心脏病变(1,2,4)。Likoff和Levine于1943年报导331例无器质性心脏病的甲亢病例,其中21例(6.3％)伴心力衰竭,
Hyperthyroidism (hereinafter referred to as hyperthyroidism) is a common endocrine disease. Cardiovascular symptoms and signs are often one of the typical manifestations of the disease. Patients often palpitations, tachycardia, arrhythmia, cardiac hypertrophy and expansion, cardiac contractility, cardiac output and pulse pressure can be increased, even with congestive heart failure. There have been many controversies over whether hyperthyroidism can cause heart problems. About 1938 years ago, many reports believe that hyperthyroidism alone does not cause heart disease, but because other heart disease often co-exist, and induced and aggravated by hyperthyroidism; most scholars since 1938 advocated that hyperthyroidism can indeed cause heart Lesions (1, 2, 4). In 1943, Likoff and Levine reported 331 cases of hyperthyroidism without structural heart disease, 21 (6.3%) with heart failure,