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仅有心脏病的某些临床表现而甲状腺机能亢进(甲亢)症状不明显的中老年患者,常易误诊为冠心病。现报告1例甲亢合并房颤被误诊为冠心病者。 患者,男,54岁。反复发作阵发性心悸1.5年,因再发心悸伴胸闷、出汗3小时于1991年11月22日入院。体检:心界不大,心率158次/分,律不齐,心音强弱不一,BP14/8kPa。心电图示房颤(心室率160次/分),S-TⅡ、Ⅲ、aVF、V_5近似水平下移0.1mV。超声心动图示左室流出道增宽,左心室肌顺应性降低。诊断为“冠心病,心律失常型”,对
Only some of the clinical manifestations of heart disease and hyperthyroidism (hyperthyroidism) symptoms are not obvious in elderly patients, often misdiagnosed as coronary heart disease. A case of hyperthyroidism is now reported with atrial fibrillation was misdiagnosed as coronary heart disease. Patient, male, 54 years old. Repeated episodes of paroxysmal palpitations 1.5 years, due to recurrent palpitations with chest tightness, sweating 3 hours in November 22, 1991 admission. Physical examination: heart is not big, heart rate 158 beats / min, irregular, heart sounds vary, BP14 / 8kPa. ECG showed atrial fibrillation (ventricular rate 160 beats / min), S-T Ⅱ, Ⅲ, aVF, V_5 approximate level down 0.1mV. Echocardiography showed left ventricular outflow tract widening, left ventricular muscle compliance decreased. Diagnosed as “coronary heart disease, arrhythmia type”, right