A study of the serum levels of thyroid hormone in elderly patients with chronic severe congestive heart failure and the efficacy of thyroid hormone treatment
- VernacularTitle:老年慢性充血性心力衰竭患者甲状腺激素水平及小剂量甲状腺素治疗临床观察
- Author:
Haining LIU
;
Xinghua ZHANG
;
Qingxin GENG
- Publication Type:Journal Article
- Keywords:
Heart failure,congestive;
Thyroid hormones;
Thyroxine
- From:
Chinese Journal of Geriatrics
2003;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the relationship between the serum levels of thyroid hormone and the degree of the congestive heart failure as well as the effects of thyroxine on elderly patients with chronic severe congestive heart failure(CHF). Methods 140 cases were divided into group A (60 cases of CHF classes Ⅰ and Ⅱ) and group B (80 cases of CHF classes Ⅲ and Ⅳ) according to the NYHA classification of severity of heart failure. The group B was divided into the observation group (50 cases) and the control group (30 cases) . All patients were treated with conventional methods and thyroxine 20-40 ?g every morning was added in the observation group for 4 weeks. The serum FT 3 ,FT 4 ,TSH,HR,echocardiography and heart function were examined before and after treatment. Results ⑴ Both group A and B had lower base line serum FT 3 and FT 4 ,which were significantly lower in the group B than those in the group A 〔FT 3 : (4.22?0.61) pmol/L vs(3.07?1.10)pmol/L,P
