TOTAL THYROIDECTOMY FOR CONGESTIVE HEART FAILURE AND ANGINA PECTORIS; REPORT OF A CASE
Authors: Sim Fields Beam
Journal: Annals of Internal Medicine (1941)

Case Reports1 June 1941TOTAL THYROIDECTOMY FOR CONGESTIVE HEART FAILURE AND ANGINA PECTORIS; REPORT OF A CASESIM FIELDS BEAM, F.A.C.P.SIM FIELDS BEAM, F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-14-12-2309 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptChristian1 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 Levine2did 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...Bibliography1. CHRISTIAN HA: The heart and its management in myxedema, Rhode Island Med. Jr., 1925, viii, 109. Google Scholar2. ROSENBLUMLEVINE HHSA: What happens to patients with hyperthyroidism and significant heart disease following subtotal thyroidectomy? Am. Jr. Med. Sci., 1933, clxxxv, 219. CrossrefGoogle Scholar3. BLUMGARTLEVINEBERLIN HLSADD: Congestive heart failure and angina pectoris—the therapeutic effects of thyroidectomy on patients without clinical or pathologic evidence of thyroid toxicity, Arch. Int. Med., 1933, li, 866. CrossrefGoogle Scholar4. PARSONSPURKS WHWK: Total thyroidectomy for heart disease, Ann. Surg., 1937, cv, 722. CrossrefGoogle Scholar5. LEVINEEPPINGER SAEC: Further experiences with total thyroidectomy in the treatment of intractible heart disease, Am. Heart Jr., 1935, x, 736. CrossrefGoogle Scholar6. STERNALTSCHULE BMD: Hematological studies in hypothyroidism following total thyroidectomy, Jr. Clin. Invest., 1936, xv, 633. CrossrefGoogle Scholar7. CLAIBORNEHURXTHAL TSLM: Results of total thyroidectomy in heart disease, New Eng. Jr. Med., 1937, ccxvi, 411. CrossrefGoogle Scholar8. WEINSTEINHOFF AAHE: Mechanism of the relief of pain immediately after total thyroidectomy for angina pectoris in congestive failure, Surg., Gynec. and Obst., 1937, lxiv, 165. Google Scholar9. OCHSNERGILLESPIE AC: Total thyroidectomy for cardiac disease, New Orleans Med. and Surg. Jr., 1936, lxxxviii, 422. Google Scholar10. WEEKS C: Total thyroidectomy for relief of pain of angina pectoris, Surg. Clin. N. Am., 1936, xvi, 667. Google Scholar11. MCCREERY JA: Total thyroidectomy for congestive heart failure and angina pectoris, Ann. Surg., 1936, ciii, 136. CrossrefGoogle Scholar12. COHENHERMANN ERL: Social study of patients with chronic cardiac disease treated by total thyroidectomy, New Eng. Jr. Med., 1936, ccxv, 1. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: St. Louis, Missouri*Received for publication November 28, 1939. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 June 1941Volume 14, Issue 12Page: 2309-2315KeywordsAnginaHeart failureHeart rateHyperthyroidismThyroidThyroidectomy Issue Published: 1 June 1941 PDF downloadLoading ...