Professor XIA Zhongyuan's Experience in Treating Hyperthyroidism with Sinus Bradycardia

ZHANG Xinjie; XIA Zhongyuan

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Professor XIA Zhongyuan's Experience in Treating Hyperthyroidism with Sinus Bradycardia

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Professor XIA Zhongyuan's Experience in Treating Hyperthyroidism with Sinus Bradycardia
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1.Surgery of traditional Chinese Medicine,China-Japan Friendship Hospital, Beijing 100029, China
2.Beijing University of Chinese Medicine, Beijing 100029, China
DOI：

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ZHANG Xinjie, XIA Zhongyuan. Professor XIA Zhongyuan's Experience in Treating Hyperthyroidism with Sinus Bradycardia[DB/OL].（2022-11-05）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31897885&Fpath=home&index=0
DOI：

ZHANG Xinjie, XIA Zhongyuan. Professor XIA Zhongyuan's Experience in Treating Hyperthyroidism with Sinus Bradycardia[DB/OL].（2022-11-05）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31897885&Fpath=home&index=0 DOI：

摘要

患者同时患有甲亢与窦性心动过缓两种疾病，属临床罕见，西医治疗方案为控制甲功正常后安装起搏器。因患者使用抗甲状腺激素药物甲巯咪唑治疗甲亢，曾有甲功控制为亚临床甲亢状态时，因窦性心动过缓停药，数月后发生房颤的病史，安装起搏器风险较高。再次因窦性心动过缓停药时，以益气养阴、通阳复脉，百合地黄汤合炙甘草汤加减治疗，1月后可耐受甲巯咪唑控制甲功，随访1年余，未发生心血管不良事件，有效避免了房颤等甲亢危象的发生。

Abstract

The patient also suffered from hyperthyroidism and sinus bradycardia, which are clinically rare. The Western medicine diagnosis and treatment plan is to install a pacemaker after controlling the normal thyroid function.The patient used the antithyroid hormone drug methimazole for hyperthyroidism. When he had a subclinical hyperthyroidism state, he had a history of atrial fibrillation a few months later, and had a high risk of pacemaker installation.Again, when I stopped the sinus movement, I treated it with nourishing qi,nourishing Yin, connecting Yang and restoring vein, and added and reduced it. After January, we could tolerate methimazole to control methyl function. After being followed up for more than 1 year, no cardiovascular adverse events occurred, which effectively avoided the occurrence of hyperthyroidism crisis such as atrial fibrillation.

关键词

甲亢窦性心动过缓益气养阴通阳复脉

Keywords

Hyperthyroidismsinus bradycardiaTCM+treatment

references

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