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老年性甲状腺功能亢进性心脏病(甲亢心)常易造成误诊或漏诊,尤其是以心房纤颤(房颤)与首发症状而就诊者极易与其他心脏病相混淆,给诊断带来困难。现将我院近年来收治的3例误诊病例报告如下。1 临床资料例1,女,64岁,以心悸6月加重1月为主诉入院。10年前患高血压病,1年前出现阵发性心悸,先后2次心电图检查为房颤,近1月发作频繁,与劳累无明显关系。查体:BP 138/75mmHg,消瘦病容,甲状腺不大,心律不齐,心率120次/min,血
Senile hyperthyroidism heart disease (hyperthyroid heart) often cause misdiagnosis or missed diagnosis, especially in patients with atrial fibrillation (atrial fibrillation) and the first symptom and easily confused with other heart disease, to the diagnosis of difficulties. Now in our hospital admitted in recent years, 3 cases of misdiagnosed cases are as follows. A clinical data example 1, female, 64 years old, palpitations in June increased in January as the main complaint hospitalization. 10 years ago suffering from hypertension, paroxysmal palpitations occurred a year ago, has 2 times ECG for atrial fibrillation, frequent seizures in recent January, and fatigue no significant relationship. Examination: BP 138 / 75mmHg, weight loss, thyroid is not, arrhythmia, heart rate 120 beats / min, blood