甲状腺功能亢进患者的心电图改变分析

摘要

Objective To investigate the electrocardiogram changes in patients with hyperthyroidism.Methods Recordings of routine electrocardiogram and 24-hour Holter ECG were obtained from 155 patients with hyperthyroidism and 155 healthy volunteers,and analyzed.Results Patients with hyperthyroidism had various changes noted in their ECGs,and 105 patients(67.7%)had arhythmia,most were atrial premature beats,atrial fibrillation,sinus tachyeardia and ST-T deviation.The changes were significantly difierent from that of healthy controls(21.3%vs 2.5%;16.8%vs 1.3%;21.3%vs 5.2%;20.0%vs 3.2%;P<0.05).Conclusion The most common ECG changes noted in patients with hyperthyroidism are arhythmia and ST-T alteration.%目的 分析甲状腺功能亢进(甲亢)患者心电图改变.方法 选取155例甲亢患者为甲亢组,对该组患者进行通常规心电图、24 h动态心电图检查,结果与155名健康体检者(对照组)同样项目检查进行比较分析.结果 甲亢患者心电图改变呈多样性形式,心律失常多见,占67.7%(105/155),以房性早搏、心房颤动、窦性心动过速、ST-T改变为主,与对照组比较差异有统计学意义(21.3%比2.5%;16.8%比1.3%;21.3%比5.2%;20.0%比3.2%;P<0.05).结论 甲亢患者心电图改变以心律失常、ST-T改变为主.