CHANGES IN THYROID-HORMONE PARAMETERS AFTER ACUTE MYOCARDIAL-INFARCTION

被引：50

作者：

EBER, B ^{[1
]}

SCHUMACHER, M ^{[1
]}

LANGSTEGER, W ^{[1
]}

ZWEIKER, R ^{[1
]}

FRUHWALD, FM ^{[1
]}

POKAN, R ^{[1
]}

GASSER, R ^{[1
]}

EBER, O ^{[1
]}

KLEIN, W ^{[1
]}

机构：

[1] HOSP BARMHERZIGE BRUDER,DEPT INTERNAL MED,GRAZ,AUSTRIA

来源：

CARDIOLOGY | 1995年 / 86卷 / 02期

关键词：

NONTHYROIDAL ILLNESSES; MYOCARDIAL INFARCTION; THYROID HORMONE; THROMBOLYSIS; LOW T3 SYNDROME;

D O I：

10.1159/000176862

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Abnormalities in circulating thyroid hormone levels are very common in systemic nonthyroidal illnesses, such as acute myocardial infarction. In this study, thyroid parameters were determined in a series of 16 consecutive infarction patients treated by thrombolysis. Blood samples were taken before therapy as well as 2, 4, 6, 8, 12 and 72 h following admission. Total and free serum thyroxin and triiodothyronine decreased and reverse T3 increased significantly showing no major variations up to 72 h, whereas thyroid-stimulating hormone values remained almost unchanged during the observation period. Subjects with CK-MB levels of more than 150 ng/ml (n = 10) revealed similar changes in thyroid parameters in comparison to those with lower values (n = 6; NS). Thus, although hormone modifications very often occur following acute infarction, thyroid status may not serve as a marker for the extent of left ventricular dysfunction in the early phase of myocardial infarction.

引用

页码：152 / 156

页数：5

共 17 条

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