The difference between hyperthyroid heart disease and heart disease.

Written by Xie Zhi Hong
Cardiology
Updated on April 08, 2025
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Heart disease includes all phenomena of heart dysfunction caused by various reasons, which can collectively be referred to as heart disease. This includes arrhythmias, heart failure, and changes in the cardiac vessels, such as coronary heart disease, coronary artery bridging, and congenital heart disease, all of which are termed heart disease. Hyperthyroid heart disease, on the other hand, is caused by a long period of uncontrolled or untreated hyperthyroidism, leading to changes in heart function and structure. It manifests as palpitations, panic, and severe decline in heart function. It is merely one type of heart disease, representing the changes in the heart caused by hyperthyroidism, and is just a small category of heart disease.

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Palpitations are one of the main symptoms of cardiovascular disease, but they should not be equated with it. Some palpitations do not accompany arrhythmias and can also occur in normal people, especially when lying on the left side, which might be noticeable. It is commonly seen in normal individuals who are nervous and sensitive, as well as in some anxious people. Normal people might experience palpitations during intense exercise; these could be due to sinus tachycardia or a high-output circulatory state, but most other cases should be evaluated to exclude heart disease.

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Is pulmonary heart disease serious?

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Cor pulmonale refers to a disease characterized by increased pulmonary vascular resistance due to pathologies of the bronchi, lung tissue, chest wall, and blood vessels of the lungs, leading to pulmonary arterial hypertension and structural and functional changes in the right ventricle. The common clinical symptoms of cor pulmonale include coughing, expectoration, shortness of breath, significant palpitations, and breathing difficulties after physical activity, reduced work capacity, and exacerbation of the above symptoms during acute infection phases. Some patients may experience chest pain and hemoptysis. The second set of symptoms relates to heart and lung function, manifesting during the decompensation phase. For instance, some patients may develop respiratory failure, and experience headaches, decreased appetite, drowsiness, significant edema in the lower extremities, and further symptoms such as arrhythmias, anorexia, abdominal distension, and nausea.