What medications are used for treating hyperthyroid heart disease in the elderly?
The elderly family member is currently 73 years old and has recently been experiencing frequent palpitations, heart pounding, and easy fatigue. After visiting the hospital, they were diagnosed with hyperthyroid heart disease. We are currently very concerned about the condition and would like to know what medications are available for treatment?
Doctor's answer (1)
In the treatment of hyperthyroid heart disease in elderly patients, medication selection should comprehensively consider the patient's specific condition and physical status.
1. Antithyroid drugs: such as methimazole or propylthiouracil, used to control thyroid hormone levels and alleviate symptoms of hyperthyroidism.
2. Beta-blockers: such as metoprolol, atenolol, etc., these drugs can slow heart rate, lower blood pressure, and effectively relieve symptoms of tachycardia and palpitations in patients with hyperthyroid heart disease.
3. Diuretics: for patients with concomitant heart failure symptoms, diuretics such as furosemide can help reduce the burden on the heart.
4. Cardiac glycosides: such as digoxin, which can enhance myocardial contractility and improve cardiac function.
5. ACE inhibitors or ARBs: angiotensin-converting enzyme inhibitors or angiotensin receptor blockers can be used to control hypertension, reduce cardiac load, and are especially suitable for patients with left ventricular dysfunction.
6. Calcium channel blockers: such as verapamil or diltiazem, used to control arrhythmias, especially atrial fibrillation.
