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Journal of the American Geriatrics... Jun 1987
Topics: Aged; Humans; Thyrotoxicosis
PubMed: 3571809
DOI: 10.1111/j.1532-5415.1987.tb01406.x -
BMJ (Clinical Research Ed.) Jun 2006
Review
Topics: Antithyroid Agents; Graves Disease; Humans; Iodine Radioisotopes; Referral and Consultation; Thyroidectomy; Thyroiditis; Thyrotoxicosis; Thyrotropin
PubMed: 16763249
DOI: 10.1136/bmj.332.7554.1369 -
Archives of Gynecology and Obstetrics Dec 2023
Topics: Pregnancy; Female; Humans; Thyroidectomy; Graves Disease; Thyrotoxicosis; Prenatal Care
PubMed: 37097313
DOI: 10.1007/s00404-023-06994-x -
Terapevticheskii Arkhiv Nov 2018Since the middle of the twentieth century, there has been a significant change in methods of the diagnosis and treatment of thyroid diseases with thyrotoxicosis...
Since the middle of the twentieth century, there has been a significant change in methods of the diagnosis and treatment of thyroid diseases with thyrotoxicosis syndrome. Previously doctors did not have trouble just with diagnosing diseases that occur with a typical clinical presentation (the Merzeburg triad, a multinodal goiter with fibrillation) because of no possible to determine thyroid hormones. Then in the early 70s years the appearance of immunological methods for estimating hormones in the blood has led to significant changes in our understanding of the variants of thyroid pathology with thyrotoxicosis (TT). Today, the diagnosis of the fact of thyrotoxicosis as a whole is not difficult (except for the confusion of preanalytical errors), but differential diagnosis within the declared syndrome remains extremely relevant to this day. Unfortunately, in the minds of many doctors, these diseases are sometimes perceived as a whole, and in the conditions of the "century of speeds", a modern doctor, extremely limited in time, often unjustifiably prescribes thyreostatic therapy, treatment with radioactive iodine or even surgical intervention after detecting thyrotoxicosis. The old truth "remember that a patient with thyrotoxicosis is a person with a sick heart..." has not lost relevance today. It is very important for the practicing physician be able to navigate in the spectrum of pathologies manifested by the thyrotoxicosis pattern because of the influence of excess thyroid hormones on the cardiovascular system and the hemostasis system. Hereinafter we tried to show diagnostic aspects focusing on differences in pathologies with TT syndrome in a lot of thyroid diseases and even nonthyroid diseases.
Topics: Diagnosis, Differential; Goiter; Humans; Hyperthyroidism; Thyroid Diseases; Thyrotoxicosis
PubMed: 30701789
DOI: 10.26442/terarkh201890104-13 -
Angiology Nov 2010A 51-year old Middle-Eastern man presented with recurrent chest pain associated with ST-segment elevation. The patient was treated with placement of a stent in the right... (Review)
Review
A 51-year old Middle-Eastern man presented with recurrent chest pain associated with ST-segment elevation. The patient was treated with placement of a stent in the right coronary artery. He was subsequently diagnosed with severe hyperthyroidism secondary to Graves disease, which is thought to be the cause of the coronary spasm. The patient was treated with neomercazole and potassium iodide solution, and diltiazem, and nitrates with resolution of his symptoms. This unusual case highlights the importance of considering hyperthyroidism in the differential diagnosis of recurrent chest pain and coronary artery spasm. We suggest routine thyroid function testing in patients with coronary spasm.
Topics: Coronary Angiography; Coronary Vasospasm; Diagnosis, Differential; Humans; Male; Middle Aged; Thyrotoxicosis
PubMed: 20498149
DOI: 10.1177/0003319710365146 -
Comprehensive Therapy Dec 1987
Review
Topics: Adolescent; Adult; Child; Female; Humans; Pregnancy; Pregnancy Complications; Thyrotoxicosis
PubMed: 3326713
DOI: No ID Found -
European Journal of Endocrinology Oct 2008
Review
Topics: Amiodarone; Anti-Arrhythmia Agents; Heart Diseases; Humans; Thyrotoxicosis
PubMed: 18667589
DOI: 10.1530/EJE-08-0553 -
Clinical Research in Cardiology :... Aug 2012
Review
Topics: Benzazepines; Diagnosis, Differential; Female; Humans; Ivabradine; Middle Aged; Myocardial Infarction; Parathyroidectomy; Thyrotoxicosis; Treatment Outcome
PubMed: 22438085
DOI: 10.1007/s00392-012-0446-0 -
Endocrine Reviews May 1989
Review
Topics: Absorption; Adolescent; Animals; Biological Transport; Cattle; Child, Preschool; Female; Humans; Infant; Male; Meat; Thyroid Hormones; Thyrotoxicosis
PubMed: 2666114
DOI: 10.1210/edrv-10-2-113 -
The Journal of Laryngology and Otology Mar 2023Total thyroidectomy can be used as a definitive treatment modality for thyrotoxicosis. This study assessed the outcomes of patients treated with surgery at a single...
OBJECTIVE
Total thyroidectomy can be used as a definitive treatment modality for thyrotoxicosis. This study assessed the outcomes of patients treated with surgery at a single secondary care site.
METHOD
A retrospective cohort study was conducted analysing consecutive patients who underwent thyroid surgery for thyrotoxicosis between 24 November 2000 and 26 April 2019 ( = 595).
RESULTS
Total thyroidectomy was performed in 95.4 per cent of patients. Two-thirds of patients had Graves' disease histology. Of patients, 22.8 per cent became transiently hypothyroid whilst on levothyroxine (thyroid hormone replacement therapy). Transient and persistent hypocalcaemia was present in 23.3 per cent and 2.8 per cent of patients respectively. Recurrent laryngeal nerve palsy was transient and persistent in 3.6 per cent and 0.3 per cent respectively. Of patients, 2.5 per cent developed post-operative haematomas that required surgical evacuation in the operating theatre.
CONCLUSION
The overall complication rate for thyroid surgery is higher in thyrotoxic than in euthyroid patients. Compared to other treatment modalities, total thyroidectomy appears to be the most effective, definitive means of managing Graves' disease.
Topics: Humans; Retrospective Studies; Thyrotoxicosis; Graves Disease; Hypothyroidism
PubMed: 35282842
DOI: 10.1017/S0022215122000664