Correlation between thyroid hormone and antibody levels and electrocardiogram in patients with hyperthyroidism

Li yuan; Ma lan

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Correlation between thyroid hormone and antibody levels and electrocardiogram in patients with hyperthyroidism

更新时间：2025-10-15

- Correlation between thyroid hormone and antibody levels and electrocardiogram in patients with hyperthyroidism
- Issue 5, Pages: 352-355(2021)
- 作者机构：
  
  安徽医科大学第二附属医院
- 作者简介：
- 基金信息：
- DOI：
  CLC： R540.41;R581.1
- Published：2021
- 稿件说明：
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Li yuan, Ma lan. Correlation between thyroid hormone and antibody levels and electrocardiogram in patients with hyperthyroidism[J]. 2021, (5): 352-355.
DOI：

Li yuan, Ma lan. Correlation between thyroid hormone and antibody levels and electrocardiogram in patients with hyperthyroidism[J]. 2021, (5): 352-355. DOI：

摘要

目的探讨甲亢患者甲状腺激素及促甲状腺激素受体抗体水平与心电图的相关性。方法选取于我院就诊的80例甲亢患者为甲亢组

选取同期80例健康体检者为对照组。两组心电图进行对比分析。同时比较甲亢患者血清游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)及促甲状腺素受体抗体(TRAb)不同浓度的心电图数据

并进行相关性分析。结果甲亢组心电图异常率明显高于对照组(p<0.05);FT3浓度不同分别与心率、P波时限比较差异有统计学意义(p<0.05);FT4浓度不同与心率比较差异有统计学意义(p<0.05);TRAb浓度不同与PR间期比较差异有统计学意义(p<0.05);FT3浓度与心率呈正相关(r=0.429

p=0.000)

与P波时限呈负相关(r=-0.247

p=0.035);FT4浓度与心率呈正相关(r=0.409

p=0.000);TRAb浓度与PR间期呈负相关(r=-0.283

p=0.015)。结论心电图是评估甲亢患者心脏损害程度及预后的重要诊断方法之一。

Abstract

Objective To investigate the correlation between thyroid hormone/thyroid-related antibodies and ECG in patients with hyperthyroidism. Methods There were 80 hyperthyroidism patients who were diagnosed in our hospital and 80 healthy people as control group.The ECG of the two groups was compared and analyzed. Meanwhile

we performed correlation analysis and compared the changes of ECG in hyperthyroidism patients with different concentrations of serum free triiodothyronine（FT3）

free thyroxine（FT4） and thyrotropin receptor antibody（TRAB）.Results The abnormal rate of ECG in hyperthyroidism group was significantly higher than that in control group（p<0.05）.The difference of FT3 concentration was statistically significant with heart rate and P-wave time limit（p<0.05）. The difference between concentration of FT4 and heart rate was statistically significant（p<0.05）. The difference of TRAb concentration and PR interval was statistically significant（p<0.05）. Concentration of FT3 was positively correlated with heart rate（r=0.429

p=0.000）

was negatively correlated with P-wave time duration（r=-0.247

p=0.035）.Concentration of FT4 was positively correlated with heart rate（r=0.409

p=0.000）. Concentration of TRAb was negatively correlated with PR interval（r=-0.283

p=0.015）. Conclusions ECG is one of the important diagnostic methods to evaluate the degree of cardiac damage and prognosis in patients with hyperthyroidism.

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