甲状腺功能减退性心脏由于心脏症病状常不显著,极易造成误诊。本文50例患者共误诊病种18种、72例次,50%患者误诊二次,个别患者误诊达5次;同一患者也有先后误诊多种疾病。误诊中以冠心病、贫血性心脏病、慢性肾炎、肿硬化等多见,其它尚有原发性心肌病、精神分裂症,更年期综合征等等。本病为可逆性心脏病,早期诊断应提高对甲减诊断的警惕性,同时甲状腺功能测验也很重要。 Hypothyroidism due to heart disease symptoms often not significant, can easily lead to misdiagnosis. Fifty patients were misdiagnosed 18 kinds of diseases, 72 cases, 50% of patients misdiagnosed twice, some patients misdiagnosed up to 5 times; the same patient has also misdiagnosed a variety of diseases. Misdiagnosis in coronary heart disease, anemia heart disease, chronic nephritis, sclerosis and other common, there are other primary cardiomyopathy, schizophrenia, menopausal syndrome and so on. The disease is reversible heart disease, early diagnosis should increase the vigilance of hypothyroidism diagnosis, and thyroid function test is also very important.