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This slim book cannot be recommended in any way. It begins without a clear definition of myxedema coma and proceeds to a discussion of the "pathophysiology" that is illogical, fragmented, often unsupported, and frequently in error. Bizarre statements abound, such as "In myxedema, because of the reduced cardiac output and vasomotor changes, lengthy syncope seems to be common." The assumption is made that physiological aberrations in myxedema coma must be identical with those changes seen in induced hypothermia, since hypothermia often accompanies the former. The section on treatment offers little clarification of an inordinately difficult problem. The case reports are
Myxedema Coma.. Ann Intern Med. 1965;62:632–633. doi: 10.7326/0003-4819-62-3-632_2
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Published: Ann Intern Med. 1965;62(3):632-633.
DOI: 10.7326/0003-4819-62-3-632_2