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    Atypical presentations of hyperthyroidism in elderly patientsHyperthyroidism, is one of the common diseases of endocrine system, for medical doctors for many years, the diagnosis of a hyperthyroidism is not difficult, 甲状腺but the diagnosis of aged hyperthyroidism sometimes is not easy. Some older patients more than 3 months before the self-induction chest tightness, stairs had significant shortness of breath after running, right precordial had a myocardial hypoxia and narrow sense, was forced to stop activities to alleviate the symptoms, but no ache of the area 杭州市省级中医院在那里 before and paroxysmal palpitations, apathy and excited, diarrhea, heat intolerance, appetite hyperthyroidism and weight loss and other symptoms, body temperature and normal blood pressure, pulse pressure without increasing width, without proptosis and thyroid enlargement, vascular murmur negative,

little heart world, heart rate of 74 beats / min Qi, law, no noise, 杭州市市一医院治疗甲亢no shaking hands, except a little premature dynamic electrocardiogram, myocardial ischemia without significant objective basis. Despite the ECG is basically normal, but according to age and clinical manifestations of coronary heart disease is the first consideration, be without rebuke, after a period of treatment without improvement, confusing. The usual heart rate at rest state is generally more sinus bradycardia, 56 times / min, according to former Holter recording, the slow heart rate of 48 beats / min at night, but the recent heart rate in more than 74 beats per minute or so, most night slow heart rate is 60 times / min, after the onset of heart rate increased slightly, while still within the normal range, but this is an important杭州市什么专科医院治疗甲亢 clue to the diagnosis, by this point traces the signs, blood test results of thyroid function, FT3, FT4 were significantly increased, TSH decreased to 0, diagnosed with hyperthyroidism.