MASKED HYPERTHYROIDISM AS A CAUSE OF HEART DIEASE
Authors: SAMUEL H. AVERBUCK
Journal: Annals of Internal Medicine (1942)

Case Reports1 May 1942MASKED HYPERTHYROIDISM AS A CAUSE OF HEART DIEASE(With Report of a Case With Long Standing Auricular Fibrillation Cured by Subtotal Thyroidectomy)*SAMUEL H. AVERBUCK, M.D., F.A.C.P.SAMUEL H. AVERBUCK, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-16-5-1011 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAlthough masked hyperthyroidism as a cause of clinical heart disease has received well deserved emphasis by some authors (Lahey,1Levine,2Sturgis and Levine3) this subject has not received the adequate attention of internists. The thyroid factor, overshadowed by the signs and symptoms of heart failure, is extremely difficult to recognize, particularly in older individuals. In this older group of patients a diagnosis of the relatively more common arteriosclerotic coronary artery disease offers a ready explanatory etiology for the cardiac insufficiency. Its acceptance, however, automatically limits the therapeutic possibilities. In sharp contrast on the other hand is the opportunity for achieving...References1. LAHEY FH: Thyroid operations in heart disease, Surg. Clin. North Am., 1934, xiv, 1225. Google Scholar2. LEVINE SA: Clinical heart disease, 2nd Ed., 1940, Saunders, Philadelphia. CrossrefGoogle Scholar3. LEVINESTURGIS SACC: Hyperthyroidism masked as heart disease, Boston Med. and Surg. Jr., 1924, cxc, 233. CrossrefGoogle Scholar4. BARKERBOHNINGWILSON PSALFN: Auricular fibrillation in Graves' disease, Am. Heart Jr., 1932, viii, 121. CrossrefGoogle Scholar5. ANDERSON JP: Incidence of auricular fibrillation and results of quinidine therapy, Am. Heart Jr., 1932, viii, 128. CrossrefGoogle Scholar6. HAMILTON BE: The heart in toxic thyroid states, Surg. Clin. North Am., 1924, iv, 1411; 1924, iv, 1425. Thyroidism complicated by heart failure, Jr. Am. Med. Assoc., 1923, lxxx, 1771. Google Scholar7. ERNSTENE AC: Cardiovascular complications of hyperthyroidism, Am. Jr. Med. Sci., 1938, cxcv, 248. CrossrefGoogle Scholar8. BURCH GE: Auricular fibrillation of 22 months' duration with return to normal sinus mechanism without aid of quinidine, Am. Heart Jr., 1939, xviii, 102. CrossrefGoogle Scholar9. THOMAS HM: The heart in hyperthyroidism, ANN. INT. MED., 1931, v, 184. Google Scholar10. MCEACHERNRAKE DG: A study of the morbid anatomy of hearts from patients dying with hyperthyroidism, Bull. Johns Hopkins Hosp., 1931, xlvii, 273. Google Scholar11. LAHEY FH: Surgical treatment of hyperthyroidism, Bull. New York Acad. Med., 1934, x, 65. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: SAMUEL H. AVERBUCK, M.D., F.A.C.P.Affiliations: New York, N. Y.*Received for publication October 24, 1940. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAPATHETIC THYROIDISM: REVIEW OF THE LITERATURE AND REPORT OF FOUR CASES*ROBERT RAY MCGEE, M.D., RICHARD L. WHITTAKER, M.D., I. FRANK TULLIS, M.D., F.A.C.P.Some Kinds of Hypertension Which Demand SurgeryAPATHETICAL RESPONSE TO HYPERTHYROIDISM; REPORT OF TWO CASES*LAURA HARE, M.D., JAMES O. RITCHEY, M.D., F.A.C.P. 1 May 1942Volume 16, Issue 5Page: 1011-1018KeywordsCardiovascular therapyEtiologyHeartHeart diseasesHeart failureHyperthyroidismSigns and symptomsStable coronary artery diseaseThyroid ePublished: 1 December 2008 Issue Published: 1 May 1942 PDF downloadLoading ...