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    Senile hyperthyroidism is how going on?Hyperthyroidism, is one of the common diseases of endocrine system, to the doctors, the diagnosis of a hyperthyroidism is not difficult, but the diagnosis of aged hyperthyroidism sometimes 甲状腺is not easy. Atypical presentations of hyperthyroidism in elderly patients for example: 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 before and paroxysmal palpitations, apathy and excited, diarrhea, heat, hyperthyroidism appetite and weight loss symptoms, 杭州同济医院jahuangxan body temperature and normal blood pressure, pulse pressure without increasing width, without proptosis and thyroid enlargement, vascular murmur is negative, the heart boundary, the heart rate of 74 BPM, law, no noise, no dynamic ECG tremor hands, except a little beat, no significant myocardial the objective evidence of ischemia. 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杭州同济医院甲亢 sinus bradycardia, 56 times / min, according to former Holter recordings, most night slow heart rate of 48 BPM, but short-term heart rate in more than 74 times / min, most night slow heart rate is 60 times / min, after the onset of heart rate increased slightly, although still in the normal range, but it is also an important clue to the diagnosis, determination of serum thyroid function, the result of FT3, FT4 were significantly increased, TSH decreased to 0, diagnosed with hyperthyroidism after drug treatment after symptoms all gone. Senile hyperthyroidism most atypical clinical manifestation, exophthalmos and goiter were also not more apparent, often with arrhythmia symptoms such as first diagnosis, misdiagnosis rate can be as high as 71.4%. Experienced practitioner of unexplained arrhythmias, mental apathy, weight loss will routinely measured to confirm or rule out thyroid, hyperthyroidism, but to the chest, shortness of breath as the main symptoms and signs without atrial fibrillation and cardiovascular system, heart rate in the normal range, but without proptosis a swelling of the elderly hyperthyroidism is rare. Therefore, when older patients have similar to coronary heart disease symptom, electrocardiogram and dynamic electrocardiogram should do, pay attention to杭州同济医院甲减科室 changes in heart rate, as far as possible and past data to be controlled, see heart rate has increased, especially nocturnal heart rate, this is very important, necessary for thyroid function tests, so as not to delay treatment of hyperthyroidism complicated with hyperthyroidism or coronary heart disease.