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Clinical Practice
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Volume 345:512-516 August 16, 2001 Number 7
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Subclinical Hyperthyroidism
Anthony D. Toft, M.D.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 67-year-old woman presents with palpitations and is found to be in atrial fibrillation at a rate of 120 beats per minute. The only other finding on physical examination is a goiter, which is known to be long-standing. Echocardiography shows neither valvular disease nor left ventricular systolic dysfunction. The serum thyrotropin concentration is less than 0.05 mU per liter, and the serum . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Atrial Fibrillation

Osteoporosis

Other Considerations

Areas of Uncertainty

Guidelines

Recommendations

Exogenous Subclinical Hyperthyroidism

Endogenous Subclinical Hyperthyroidism


Source Information

From the Endocrine Clinic, Royal Infirmary of Edinburgh, Lauriston Pl., Edinburgh EH3 9YW, Scotland, where reprint requests should be addressed to Dr. Toft.

References


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