爱思唯尔期刊精选全文

		American Journal of Cardiology
		中文标题: 长期使用阿司匹林对首次因ST段抬高心肌梗死而入院的患者血管造影血栓负荷的影响
		英文标题: Effect of Chronic Aspirin Therapy on Angiographic Thrombotic Burden in Patients Admitted for a First ST-Elevation Myocardial Infarction
		作者: Giampaolo Niccoli, Cristina Spaziani, Marcello Mar...
		全文: Myocardial no-reflow may negate the benefit of urgent coronary revascularization in patients with acute ST-elevation myocardial infarction (STEMI). Among its pathogenetic mechanisms, distal embolizati...

		American Heart Journal
		中文标题: 药物洗脱支架用于静脉移植术的有效性和安全性：一项meta分析
		英文标题: Effectiveness and safety of drug-eluting stents in vein grafts: A meta-analysis
		作者: Dominique Joyal, Kristian B.Filion, Mark J. Eisenb...
		全文: Background The use of drug-eluting stents (DES) in degenerative vein grafts is currently an off-label indication. Recent studies have had conflicting results regarding the effectiveness and safety of...

		American Heart Journal
		中文标题: 低碳水化合物饮食后在他汀类药物治疗的基础上加用胆固醇摄取抑制剂的疗效：一项随机对照试验
		英文标题: Efficacy of cholesterol uptake inhibition added to statin therapy among subjects following a low-carbohydrate diet: A randomized controlled trial
		作者: Julio A.Chirinos, Monica M.Williams,David B. Bregm...
		全文: Background :Low-carbohydrate diets are frequently used as part of weight-loss programs. These are typically associated with increased fat intake. Therefore, cholesterol absorption inhibition is a logi...

		American Heart Journal
		中文标题: 电子健康档案与心衰护理质量
		英文标题: Electronic health records and quality of care for heart failure
		作者: Mary Norine Walsh, Clyde W.Yancy, Nancy M. Albert,...
		全文: Background: Electronic health records (EHRs) are considered an important technology to improve the quality of health care, yet few data exist regarding their effect on delivery of evidence-based care...

		American Heart Journal
		中文标题: 静息心率加快是健康男性和女性心血管疾病的独立危险因素之一
		英文标题: Elevated resting heart rate is an independent risk factor for cardiovascular disease in healthy men and women
		作者: Marie Therese Cooney, Erkki Vartiainen, Tinna Laak...
		全文: Background: Elevated resting heart rate (RHR) is known to be associated with reduced survival but inconsistencies remain, including lack of significance in most studies of healthy women, lack of indep...

		American Journal of Cardiology
		中文标题: 在心脏科门诊中指南推荐的心衰辅助治疗的执行情况(IMPROVE HF研究结果)
		英文标题: Adherence to Guideline-Recommended Adjunctive Heart Failure Therapies Among Outpatient Cardiology Practices (Findings from IMPROVE HF)
		作者: Clyde W. Yancy, Gregg C.Fonarow, Nancy M. Albert, ...
		全文: Although previous studies have documented adherence with certain established heart failure (HF) quality metrics in outpatient cardiology practices, the extent to which there is conformity with other e...

		American Journal of Cardiology
		中文标题: 冠心病患者愤怒、压抑愤怒与不良事件风险
		英文标题: Anger, Suppressed Anger, and Risk of Adverse Events in Patients With Coronary Artery Disease
		作者: Johan Denollet, Yori Gidron, Christiaan J. Vrints,...
		全文: Anger is associated with cardiovascular stress reactivity; however, little is known about the effect of suppressed anger in patients with coronary artery disease (CAD). We examined whether patients wi...

		American Journal of Cardiology
		中文标题: 他汀类药物是否能降低不健康饮食习惯所带来的心血管风险？
		英文标题: Can a Statin Neutralize the Cardiovascular Risk of Unhealthy Dietary Choices?
		作者: Emily A.Ferenczi, Perviz Asaria, Alun D. Hughes, N...
		全文: The cardiovascular risk reduction associated with different statins for the prevention of cardiovascular disease and the cardiovascular risk increase associated with excess dietary intake of fat have...

		American Journal of Cardiology
		中文标题: 系统性高血压患者阻塞性睡眠呼吸暂停的特点及预测因子
		英文标题: Characteristics and Predictors of Obstructive Sleep Apnea in Patients With Systemic Hypertension
		作者: Luciano F.Drager, Pedro R.Genta, Rodrigo P. Pedros...
		全文: Obstructive sleep apnea (OSA) is a secondary cause of hypertension and independently associated with target-organ damage in hypertensive patients. However, OSA remains largely underdiagnosed and under...

		American Journal of Cardiology
		中文标题: 比较1天与7天Holter监测用于继发于非缺血性与缺血性心肌病的慢性心衰患者心律失常的检测
		英文标题: Comparison of Detection of Arrhythmias in Patients With Chronic Heart Failure Secondary to Non-Ischemic Versus Ischemic Cardiomyopathy by 1 Versus 7-D...
		作者: Francisco J.Pastor-Pérez, Sergio Manzano-Fernández...
		全文: The purpose of this study was to compare the diagnostic sensitivity of 1-day Holter monitoring versus 7-day Holter monitoring (7DH) to detect atrial and ventricular arrhythmias in a population of stab...

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甲状腺功能亢进合并黄疸

王燕燕王曙

上海交通大学附属瑞金医院内分泌科

患者，女，69岁。2009年1月无明显诱因下出现乏力，当时程度较轻，未予以重视。2009年3月患者乏力症状加重，尿色逐渐加深，大便习惯改变，颜色变淡。4月18日入我院感染科治疗，诉轻度头晕、心慌，体重减轻10kg。无肝区疼痛，无发热，无腹痛、腹泻、腹胀、里急后重，无恶性、呕吐等。入院半月前于外院就诊，查肝功能：ALT 601IU/L，AST 785IU/L，TBIL 97.7umol/L，白蛋白 41g/L，甲状腺功能：游离T3 30.6pmol/L，游离T4 51.9pmol/L，心电图示快速房颤。

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