甲亢合并急性冠脉综合征病例分析及文献回顾  

Case analysis and literature review in patients with hyperthyroidism complicated acute coronary syndrome

作　　者：范晓方[1] 张钰[1] 杨架林[1] 

机构地区：[1]复旦大学附属闵行医院(上海闵行区中心医院)内分泌科,上海201199

出　　处：《临床急诊杂志》2015年第9期730-732,共3页Journal of Clinical Emergency

基　　金：上海市科委课题(No:114119b0400)

摘　　要：甲状腺功能亢进症（甲亢）未控制可能导致冠脉痉挛引起急性冠状动脉综合征（ACS）,包括急性心肌梗死和不稳定型心绞痛,如不能及时诊治可导致恶性心律失常、心力衰竭、心跳骤停等严重后果。这类患者临床上鲜有经皮冠脉造影（CAG）证实。本文收集了本院3例病例进行分析,并对相关文献进行复习。1病例资料3例患者中,男2例,女1例,年龄25~62岁,诊断为甲亢合并急性心肌梗死2例.Patients with hyperthyroidism complicated acute coronary syndrome were common in youth.The risk factors of coronary heart disease were lacking,and symptoms of hyperthyroidism were not typical in these patients.Coronary artery spasm can be found by angiography.Therapy with long-term nitrate ester,calcium channel blocker（CCB）,and anti-hyperthyroidism was effective for these patients.Acute coronary syndrome was likely to occurred in patients with uncontrolled hyperthyroidism.Routine thyroid function tests should be performed in patients with acute coronary syndrome.Coronary angiography was safe in patients with hyperthyroidism.

关 键 词：甲状腺功能亢进症 急性冠脉综合征 冠脉痉挛 冠脉造影 

分 类 号：R581[医药卫生—内分泌] R541[医药卫生—内科学]