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Cardiovascular symptomatology in exophthalmic goiter

The American heart journal, 1932-10, Vol.8 (1), p.55-65 [Peer Reviewed Journal]

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Title:
Cardiovascular symptomatology in exophthalmic goiter
Author: Lerman, J. ; Means, J.H.
Is Part Of: The American heart journal, 1932-10, Vol.8 (1), p.55-65
Description: An analysis of 184 patients with hyperthyroidism shows that cardiac symptoms are more common in the female; their severity is greater and their duration longer. Cardiac enlargement, precordial thrill and a superficial pericardial friction rub are more common in the female, whereas auricular fibrillation and other forms of arrhythmia are more common in the male. Cardiovascular disease is present in the male and female patients to the same degree. The pulse rate tends to be slower in the male than in the female, while the pulse pressure is higher. It may be inferred, therefore, that the increased volume flow of blood is about the same in the two groups, although brought about by different mechanisms. Various factors influence the frequency of palpitation and dyspnea and their severity. Twenty-one patients with organic cardiac disease are analyzed. It is indicated that hyperthyroidism per se does not produce so-called thyroid heart disease but causes functional derangement in a cardiovascular system already damaged by other pathological conditions. A superficial pleuro-pericardial friction rub heard over the sternum is described.
Publisher: Mosby, Inc
Language: English
Identifier: ISSN: 0002-8703
EISSN: 1097-6744
DOI: 10.1016/S0002-8703(32)90027-1
Source: Alma/SFX Local Collection

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