怎样治疗甲亢性心脏病

    Hyperthyroid heart disease more common in more severe disease, longer course of disease, as well as older patients with hyperthyroidism. In addition to being a manifestation of thyrotoxicosis, also has the arrhythmia, heart enlargement, heart failure and a series of diseases, their cardiac lesions caused by hyperthyroidism caused by. Clinical morbidity is high, accounting for about 5% to 10% of patients with hyperthyroidism.

    Its treatment except for rapid control of hyperthyroidism, clinical and treatment of heart disease there is no big difference between corresponding. Control of hyperthyroidism with radioactive iodine treatment, prior use of antithyroid drugs from 3 to 6 months, depletion of gland hormone storage, can reduce heart disease changes. Severe cases require immediate control condition, using radioactive iodine, potassium iodide treatment of antithyroid drugs and. In the treatment or control of hyperthyroidism with atrial fibrillation after no better, may consider the use of ANN, equal to his heart rhythm control of atrial fibrillation, if not successful, should try to quinidine or electrical cardioversion. Beat frequency, can give the slow heart rate or propafenone.

    Atrioventricular block, avoid using beta blockers and digitalis. Heart rate is too slow, can be added with atropine, isoprenaline. Heart failure, in the control of hyperthyroidism at the same time, according to the general principles of management of heart failure treatment, use of diuretics such as furosemide is applied and cardiac stimulant, hydrochlorothiazide, cedilanid etc.. During the dosing period, must be closely observed the changes in condition, to prevent digitalis poisoning.

    Reserpine and guanethidine can decrease heart rate and improve the restless, but attention should be paid to orthostatic hypotension. Effects of propranolol rapid heartbeat, tachycardia and agitation alleviate the effect, but the inhibition of myocardial systolic function in patients with congestive heart failure, the disabled. In general, hyperthyroidism is able to alleviate, cardiac lesions can be disappeared or lightened.