|
Abstract Objective To explore the risk factors of atrial fibrillation (AF) in patients with hyperthyroidism. Methods From 755 patients diagnosed with hyperthyroidism in our hospital, we selected 112 cases with first AF seizure as the research group and another 112 cases without AF as the control group. We analyzed and compared the thyroid function indicators (FT3, FT4, TSH, TPOAB, TGAB and TRAB), cholesterin, triacylglycerol, past medical histories of hypertension, diabetes and smoking, inner diameter of left and right auricle(ventricle), ejection fraction, the maximum P-wave duration (Pmax), and P-wave dispersion (PWD) between the two groups. Multivariate Logistic regression analysis of the above possible risk factors was performed. ResultsThe indexes of FT3 and TSH, history of hypertension, inner diameter of left and right auricle, Pmax, and PWD vary significantly from the research group to the control group (P＜0.05). Regression analysis results show that TSH, history of hypertension, inner diameter of left auricle and PWD are independent risk factors of AF in patients with hyperthyroidism. Conclusion For patients with hyperthyroidism complicating low TSH level, left atrial hypertrophy, increased PWD or history of hypertension, clinicians must keep high alert for the occurrence of AF and make early clinical interventions to reduce longterm complications.
|
|
|
| Fund: 福建省卫生教育联合攻关计划项目（2019-WJ-18） |
|
|
|
