冠心病和甲状腺功能减退症(以下简称“甲减”)都是临床常见病和多发病。心血管系统是甲状腺激素的重要靶点,甲状腺功能异常可通过多种途径影响循环系统功能,导致冠心病的发生和发展。且甲减起病较隐匿,临床表现特异性不强,故早期难以明确诊断。而严重甲减会对循环系统造成严重影响,现将1例冠心病合并严重甲减导致昏迷的病例报告如下。1病案资料李某,女,76岁。1个月前因嗜睡渐进性加重2个月,突 Coronary heart disease and hypothyroidism (hereinafter referred to as “hypothyroidism”) are common clinical and frequently-occurring disease. Cardiovascular system is an important target of thyroid hormones, thyroid dysfunction can affect the circulatory system through a variety of ways, leading to the occurrence and development of coronary heart disease. And hypothyroidism is more occult onset, clinical manifestations is not strong, it is difficult to early diagnosis. Serious hypothyroidism will have a serious impact on the circulatory system, now a case of coronary heart disease with severe hypothyroidism caused by coma are reported as follows. 1 medical records Lee, female, 76 years old. 1 month ago because of lethargy gradual increase in 2 months, sudden