CHANGES IN THYROID-HORMONE PARAMETERS AFTER ACUTE MYOCARDIAL-INFARCTION

被引：49

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

[1] BIOCHEMICAL MARKERS OF MYOCARDIAL INJURY - IS MB CREATINE-KINASE THE CHOICE FOR THE 1990S
ADAMS, JE
ABENDSCHEIN, DR
JAFFE, AS
[J]. CIRCULATION, 1993, 88 (02) : 750 - 763
[2] DOES THE EMERGENCY ROOM ELECTROCARDIOGRAM IDENTIFY PATIENTS WITH SUSPECTED MYOCARDIAL-INFARCTION WHO ARE AT LOW-RISK OF ACUTE COMPLICATIONS
BELL, MR
MONTARELLO, JK
STEELE, PM
[J]. AUSTRALIAN AND NEW ZEALAND JOURNAL OF MEDICINE, 1990, 20 (04): : 564 - 569
[3] Chopra I.J.I.e., 1991, THYROID HORMONE META, P195
[4] EVALUATION OF PITUITARY-THYROID AXIS RESPONSE TO ACUTE MYOCARDIAL-INFARCTION
DEMARINIS, L
MANCINI, A
MASALA, R
TORLONTANO, M
SANDRIC, S
BARBARINO, A
[J]. JOURNAL OF ENDOCRINOLOGICAL INVESTIGATION, 1985, 8 (06): : 507 - 511
[5] Eber Bernd, 1993, Intensivmedizin und Notfallmedizin, V30, P130
[6] THYROID STATUS IN PATIENTS AFTER ACUTE MYOCARDIAL-INFARCTION
FRANKLYN, JA
GAMMAGE, MD
RAMSDEN, DB
SHEPPARD, MC
[J]. CLINICAL SCIENCE, 1984, 67 (06) : 585 - 590
[7] ENDOGENOUS CORTISOL AND THYROID-HORMONE LEVELS IN PATIENTS WITH ACUTE MYOCARDIAL-INFARCTION
KAHANA, L
KEIDAR, S
SHEINFELD, M
PALANT, A
[J]. CLINICAL ENDOCRINOLOGY, 1983, 19 (01) : 131 - 139
[8] Kaptein EM, 1986, THYROID HORMONE META, P297
[9] DIAGNOSIS AFTER ACUTE MYOCARDIAL-INFARCTION
LENGFELDER, W
SENGES, J
[J]. DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 1992, 117 (31-32) : 1197 - 1200
[10] LIO S, 1993, THYROID DISEASES CLI, P588

← 1 2 →