Hyperthyroidism and hypertension?

summary

Hyperthyroidism patients often have abnormal blood pressure, characterized by increased systolic blood pressure (commonly known as high pressure), decreased diastolic blood pressure (commonly known as low pressure), and increased pulse pressure difference (systolic diastolic blood pressure). Increased systolic blood pressure is due to increased cardiac output. The increase of thyroid hormone can directly enhance the contractility of myocardium, or indirectly enhance the contractility of myocardium by increasing the sensitivity of myocardium to catecholamine. The increase of myocardial contractility increases cardiac output and leads to the increase of systolic arterial pressure. Hyperthyroidism and hypertension? Let's talk about it.

Hyperthyroidism and hypertension?

The clinical manifestations of hyperthyroidism are: palpitation, tachycardia, fear of heat, sweating, hyperappetite, emaciation, weight loss, fatigue and emotional irritability, irritability, insomnia, inattention, exophthalmos, shaking hands and tongue, goiter or enlargement. Women can have menstrual disorders or even amenorrhea, men can have impotence or breast development. Goiter is symmetrical, and some patients are asymmetric. Goiter will move up and down with swallowing, and some patients with hyperthyroidism have thyroid nodules.

The eye changes caused by hyperthyroidism include benign exophthalmos, exophthalmos, gaze or panic eyes; The other is malignant exophthalmos, which can be transformed from benign exophthalmos. Patients with malignant exophthalmos often have fear of light, tears, diplopia, vision loss, eye swelling and pain, tingling, foreign body feeling, etc. due to the high degree of eyeball protrusion, the eyes can not be closed, conjunctiva and cornea are exposed, causing blood filling, edema, corneal ulceration, and even blindness. Some hyperthyroidism patients have no eye symptoms or symptoms are not obvious. All the above are typical clinical manifestations of hyperthyroidism, but not every hyperthyroidism patient has all the clinical symptoms. Different types of hyperthyroidism have different clinical manifestations.

If hyperthyroidism is not cured for a long time, a series of complications may appear, such as hyperthyroidism heart disease, hyperthyroidism limb paralysis, hyperthyroidism hypertension, hyperthyroidism diabetes, hyperthyroidism psychosis, etc. Hyperthyroidism crisis is the rapid deterioration of hyperthyroidism, leading to serious metabolic disorders, cardiovascular system, digestive system, nervous system and other serious functional disorders, often life-threatening, such as diagnosis and rescue measures are not timely, the mortality rate is very high. Even if the diagnosis and treatment are timely, about 5-15% of the patients will not be spared.

matters needing attention

(l) Give plenty of carbohydrates and fat. Carbohydrate and fat can save protein. If the supply is sufficient, protein can play its unique physiological function. Give adequate vitamins and inorganic salts. Vitamin can regulate physiological function and improve metabolism, especially vitamin B and vitamin C. Adequate calcium and iron should be given to prevent deficiency（ 2) Appropriate increase of animal viscera, fresh green leafy vegetables, or vitamin supplements（ 3) Proper control of cellulosic foods. Hyperthyroidism patients often have diarrhea, such as excessive supply of cellulose rich food will aggravate diarrhea.