SIM FIELDS BEAM, F.A.C.P.
Christian1 stated in 1925 that possibly a lowered metabolic rate as a result of thyroid deficiency might afford a cardiac rest in that it lessened appreciably the demands on the heart. He also made the observation that those suffering from myxedema often developed symptoms of angina pectoris upon administration of thyroid, with subsequent improvement upon withdrawal of the thyroid.
In 1927 Levine2 did a subtotal thyroidectomy for masked hyperthyroidism on a patient in cardiac failure. Great improvement followed but upon careful microscopic examination of the removed gland no areas of hyperactivity of the gland could be found. Upon the basis
BEAM SF. TOTAL THYROIDECTOMY FOR CONGESTIVE HEART FAILURE AND ANGINA PECTORIS; REPORT OF A CASE(TOTAL THYROIDECTOMY FOR CONGESTIVE HEART FAILURE AND ANGINA PECTORIS; REPORT OF A CASE*). Ann Intern Med. 1941;14:2309–2315. doi: 10.7326/0003-4819-14-12-2309
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Published: Ann Intern Med. 1941;14(12):2309-2315.
Cardiology, Coronary Heart Disease, Endocrine and Metabolism, Heart Failure, Thyroid Disorders.
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