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TOTAL THYROIDECTOMY FOR CONGESTIVE HEART FAILURE

TOTAL THYROIDECTOMY FOR CONGESTIVE HEART FAILURE Kocher and more recently Lahey have pointed out that a subtotal thyroidectomy performed on patients with congestive heart failure and hyperthyroidism frequently results in a definite and lasting improvement of the circulation. Blumgart found that in patients with congestive heart failure and a normal basal metabolic rate the basal velocity of the blood flow is greatly slowed and that, while the blood flow may be similarly slowed in patients with the low metabolic rate of myxedema, such patients do not show signs of congestive heart failure. He concluded that the diminished circulation of these patients is adequate for the diminished demands of the body. Observations on a patient who showed improvement following a subtotal thyroidectomy for suspected masked hyperthyroidism, later proved to be normal, suggested to Blumgart, Levine and Berlin1 that the removal of the normal thyroid gland might be helpful in cardiac failure not due to thyrotoxicosis. Subtotal http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

TOTAL THYROIDECTOMY FOR CONGESTIVE HEART FAILURE

JAMA , Volume 109 (3) – Jul 17, 1937

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Publisher
American Medical Association
Copyright
Copyright © 1937 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1937.02780290032011
Publisher site
See Article on Publisher Site

Abstract

Kocher and more recently Lahey have pointed out that a subtotal thyroidectomy performed on patients with congestive heart failure and hyperthyroidism frequently results in a definite and lasting improvement of the circulation. Blumgart found that in patients with congestive heart failure and a normal basal metabolic rate the basal velocity of the blood flow is greatly slowed and that, while the blood flow may be similarly slowed in patients with the low metabolic rate of myxedema, such patients do not show signs of congestive heart failure. He concluded that the diminished circulation of these patients is adequate for the diminished demands of the body. Observations on a patient who showed improvement following a subtotal thyroidectomy for suspected masked hyperthyroidism, later proved to be normal, suggested to Blumgart, Levine and Berlin1 that the removal of the normal thyroid gland might be helpful in cardiac failure not due to thyrotoxicosis. Subtotal

Journal

JAMAAmerican Medical Association

Published: Jul 17, 1937

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