This Journal feature begins with a case vignette highlightinga common clinical problem. Evidence supporting various strategiesis then presented, followed by a review of formal guidelines,when they exist. The article ends with the author's clinicalrecommendations.
A 67-year-old woman presents with palpitations and is foundto 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 neithervalvular disease nor left ventricular systolic dysfunction.The serum thyrotropin concentration is less than 0.05 mU perliter, 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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