老年甲亢性心脏病14例误诊分析

目的探讨分析老年甲亢性心脏病（HHD）的误诊原因。方法回顾分析2010年1月-2011年12月在本院就诊并误诊的14例HHD患者的临床资料。结果治愈10例（71．4％）,好转4例（28．6％）;老年HHD临床表现复杂而不典型,极易被误诊为其他心血管类疾病。结论当老年患者因心脏类疾病就诊时,若诊断提示有不明原因房颤、心绞痛、脉压差过大、心脏扩大等表现,按照冠心病等其他心脏类疾病治疗疗效不佳时,应考虑HHD的可能,及时做甲状腺功能检查以判断,争取及早确诊,改善患者预后。

Misdiagnosis analysis of 14 Cases of hyperthyroid heart disease in elder

Objective To observe the misdiagnosis causes of hyperthyroid heart disease(HHD) in elder.Methods The clinical materials of 14 elderly patients with HHD were reviewed from Jan.2010 to Dec.2011.Results The cure rate was 71.4% while the recovery rate was 28.6% after the treatment.The clinical manifestations of HHD in elder were complicated and untypical,which were easily misdiagnosed as the other cardiovascular disease.Conclusion For elderly patients who have unknown causes clinical manifestations about atrial fibrillation,angina pectoris,abnormal pulse pressure and cardiac enlargement and the curative effect is not good,hyperthyroid heart disease can not be ruled out,so timely thyroid function test can help to conclude and improve the prognosis.