胺碘酮广泛用于抗心律失常,因含碘量高(占药物重量的37.2%),故有可能引起甲状腺功能异常。确定有无真正的甲亢或甲减非常重要,以免错误地将有关症状归因于基础心脏病。本文前瞻性地研究胺碘酮治疗对甲状腺功能的影响。方法:45例病人均因持续性或非持续性室性心动过速、心室颤动、心房颤动和室上性心动过速而接受胺碘酮治疗。治疗前全部病人均无甲状腺病的 Amiodarone is widely used in anti-arrhythmia, because of high iodine (accounting for 37.2% of drug weight), it may cause thyroid dysfunction. It is important to determine if there is any true hyperthyroidism or hypothyroidism to avoid mistaking the symptoms for underlying heart disease. This article prospectively studies the effects of amiodarone on thyroid function. Methods: All 45 patients received amiodarone for persistent or non-sustained ventricular tachycardia, ventricular fibrillation, atrial fibrillation, and supraventricular tachycardia. All patients had no thyroid disease before treatment