First of old age is overbearing and non- typical to behave

First of old age is overbearing and non- typical to behave
First is overbearing, it is a kind of common endocrine system disease, as to by the look of the doctors of more than 40 years of medicine, diagnose first of one is too overbearing to have and difficult, but diagnose it is not the easy thing sometimes that first of the elderly's is overbearing. I experience some the intersection of old age and first typical to display a overbearing one personally recently. Uncomfortable in chest in self inductance month more than 3 ago,at breathe hard stair obviously occasionally,in right amount after running a oxygen deficiencies myocardium and last narrow feeling district heart ago, forced to stop the activity and relieved symptom, the intersection of district and pain and popping palpitation, the intersection of emotion and indifference and excitement, suffer from diarrhoea, afraid of heat, the intersection of appetite and hyperfunction and the intersection of person who become thin and symptom not be in the mood for, body temperature and normotensive, the pulse pressure has not been increased widely, it is swelling not to dash for ward eyes and thyroid gland, unless negative in noise in blood vessel, big circle in heart,heart rate 74 times /divide,there are neat on law, be noises obvioused, both hands have not trembled, the dynamic electrocardiogram eliminates a little to fight early, there is not ischemic objective basis of obvious cardiac muscle. Though the electrocardiogram is basically normal, according to age and clinical manifestation, consider coronary heart disease is blameless at first, the treatment for some time has not taken a favorable turn, has made people feel puzzled. I ponder carefully, the heart rate usually is under the quiet state state generally mostly sinuses are slow, 56 times /divide about,according to recording,heart rates slowest of night to 48 times /divide, but heart rate it is recent at 74 times more /divide about,60 times divide heart rates slowest too night, the heart rate slightly increases after the onset, though still in the normal range, this is a diagnosis clue that is worth paying attention to, according to the physical sign of clues of this, I held the mood sounded out and drew blood to examine the thyroid gland function, FT3, FT4 increased notably finally, TSH was reduced to 0, it is overbearing for first to make a definite diagnosis of, I was as if relieved of a heavy load, symptom has all gone after drug therapy. First of old age is most overbearing clinical manifestation is not typical, it is a lot of non- obvious to dash for ward physical sign such as being swollen of eyes and the first, often examine for the first time with symptoms such as the arrhythmia,etc., the misdiagnosing rate can be up to 71.4%. Experienced doctor's arrhythmia, spirit to the unidentified reason are indifferent, become thin etc. and can all examine the thyroid gland function according to the routine, in order to make a definite diagnosis of or it gets rid of first to be overbearing, with uncomfortable in chest breathing hard for main symptom and having the intersection of room and physical sign of cardiovascular system such as being quiver, the heart rate is in the normal range, there is not first of old age dashing for ward the eyes first swollenly etc. even more overbearing but rare. So when the old patient have symptom exactly like coronary heart disease that go to a doctor, should have an electro-cardiogram and dynamic electrocardiogram, notice the heart rate changing, contrast with the materials previously as much as possible, read the heart rate to increase fast, especially the heart rate at night, this point is very important, do the function inspection of thyroid gland if necessary, overbearing or first overbearing so as not to affect first adversely to amalgamate the treatment of coronary heart disease.

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