PDF(Pubmed)
Abstract：
Hyperthyroidism directly affects the cardiovascular system, altering the heart\'s normal function and leading to high cardiovascular mortality. Excess thyroid hormones are associated with significantly increased risk and prevalence of cardiac arrhythmias, particularly atrial fibrillation (AF). This article reviewed the hemodynamic changes and the risk of cardiac arrhythmias, including atrial and ventricular arrhythmias associated with hyperthyroidism. It has also discussed the multi-level pathophysiology of thyrotoxic AF, sinus tachycardia, and different treatment modalities such as anti-thyroid drugs, beta-blockers, and the role of cardioversion and catheter ablation. This article has explored different studies that have concluded that AF and sinus tachycardia are the most common arrhythmias associated with thyrotoxicosis.
摘要：
甲状腺功能亢进直接影响心血管系统,改变心脏的正常功能，导致高心血管死亡率。甲状腺激素过量与心律失常的风险和患病率显着增加有关，特别是心房颤动（AF）。本文就血流动力学变化和心律失常的风险进行综述,包括与甲状腺功能亢进相关的房性和室性心律失常。它还讨论了甲状腺毒性AF的多层次病理生理学，窦性心动过速,和不同的治疗方式，如抗甲状腺药物，β受体阻滞剂，以及心脏复律和导管消融的作用。本文探讨了不同的研究，这些研究得出结论，房颤和窦性心动过速是与甲状腺毒症相关的最常见的心律失常。
