Thyroid Heart Disease in Young Male, a Case Report

Perdana Liansyah Sihite, Abdullah Hambali, Muhammad Firdaus Kamil, Muhsin Muhsin, A. Gani, Muhammad Diah
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Abstract

The thyroid gland produces thyroid hormones that affect all tissue's metabolic processes, including the heart. Disorders of thyroid hormones, both increasing and decreasing thyroid hormones, can cause similar symptoms to primary heart disease. Thyroid heart disease (THD) is a heart disease that occurs due to increasing (hyperthyroid) or decreasing (hypothyroid) thyroid hormones in the circulation. Hyperthyroidism can cause several types of heart disease, including mitral regurgitation, tricuspid regurgitation, cardiomyopathy, heart failure, mitral valve prolapses, atrial fibrillation, or sinus tachycardia. Almost all cases of THD occur in middle-aged women. Here we presented a 32-year-old male patient diagnosed with THD caused by graves' disease. The patient was admitted to the emergency department due to shortness of breath. Medical and non-medical treatments were administered to the patients, and patients experienced improvement after several days of hospitalization. The progression of hyperthyroidism is characterized by remission and long-term exacerbations. Although some patients can remain euthyroid for a long time after therapy, many eventually get into hypothyroidism. Therefore, lifetime follow-up is an indication for all patients with hyperthyroidism.
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年轻男性甲状腺性心脏病1例报告
甲状腺产生甲状腺激素,影响所有组织的代谢过程,包括心脏。甲状腺激素紊乱,无论是增加还是减少甲状腺激素,都可引起与原发性心脏病相似的症状。甲状腺性心脏病(THD)是一种由于循环中甲状腺激素增加(甲状腺亢进)或减少(甲状腺功能减退)而发生的心脏病。甲亢可引起多种心脏病,包括二尖瓣反流、三尖瓣反流、心肌病、心力衰竭、二尖瓣脱垂、心房颤动或窦性心动过速。几乎所有的THD病例都发生在中年妇女。我们在此报告一位32岁男性患者,诊断为由graves病引起的THD。病人因呼吸短促被送进急诊科。对患者进行了药物和非药物治疗,患者在住院几天后病情有所改善。甲状腺机能亢进的进展以缓解和长期恶化为特征。虽然一些患者在治疗后可以长时间保持甲状腺功能正常,但许多患者最终会进入甲状腺功能减退症。因此,终身随访是所有甲亢患者的适应症。
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