The Heart in Myxedema

Abstract

Article1 April 1933The Heart in MyxedemaElectrocardiograms and Roentgen-Ray Measurements before and after TherapyJ. LERMAN, M.D., R. J. CLARK, M.D., J. H. MEANS, M.D., F.A.C.P.J. LERMAN, M.D., R. J. CLARK, M.D., J. H. MEANS, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-6-10-1251 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptREVIEW OF THE LITERATUREIn various articles and textbooks dealing with myxedema, very little has been said regarding the heart. The literature covering the subject of the heart in myxedema is marked by paucity, contradiction, and confusion.In 1918 Zondek1 introduced the term "myxedema heart" and described its characteristics as follows:I. Before treatment with thyroid.1. Dilatation of the left and right heart which may be of a very high degree.2. Slow, indolent heart action with normal blood pressure.3. Lowering of the auricular wave and the T-wave of the electrocardiogram.II. Following treatment with thyroid.1. Return...Bibliography1 ZONDEK H: Das Myxödemherz, München med. Wchnschr., 1918, lxv, 1180-1182. Google Scholar2 ZONDEK H: Das Myxödemherz, (II. Mitteilung), München med. Wchnschr., 1919, lxvi, 681-683. Google Scholar3 ASSMANN H: Das Myxödemherz, München med. Wchnschr., 1919, lxvi, 9. Google Scholar4 MEISSNER R: Zur Klinik des Myxödemherzens, München med. Wchnschr., 1920, lxvii, 1316. Google Scholar5 LAUBRYMUSSIO-FOURNIÉRWALSER CJCJ: Syndrome angineux et insuffisance thyroidïenne, Bull. et mém. Soc. méd. de hôp. de Paris, 1924, xlviii, 1592-1598. Google Scholar6 FAHR G: Myxedema heart, Jr. Am. Med. Assoc., 1925, lxxxiv, 345-349. CrossrefGoogle Scholar7 CHRISTIAN HA: The heart and its management in myxedema, Rhode Island Med. Jr., 1925, viii, 109-113. Google Scholar8 WILLIUSHAINES FASF: The status of the heart in myxedema, Am. Heart Jr., 1925, i, 67-72. 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CrossrefGoogle Scholar16 DUDEN CW: Myxedema with cardiac decompensation and hypertension which disappeared under thyroid medication, Jr. Missouri Med. Assoc., 1929, xxvi, 25-27. Google Scholar17 HOLZMAN JE: Myxedema heart, with report of two cases, Am. Heart Jr., 1929, iv, 351-366. CrossrefGoogle Scholar18 ZISKIN T: Angina pectoris associated with myxedema heart, U. S. Vet. Bur. Med. Bull., 1930, vi, 24-26. Google Scholar19 DAVIS JC: Myxedema heart, with report of one case, ANN. INT. MED., 1931, iv, 733-741. LinkGoogle Scholar20 TUNG CL: The status of the heart in myxedema, Am. Heart Jr., 1931, vi, 734-742. CrossrefGoogle Scholar21 AYMANROSENBLUMFALCONLESSES DHM: "Myxedema Heart" without evidence of cardiac insufficiency; report of two cases, Jr. Am. Med. Assoc., 1932, xcviii, 1721-1725. CrossrefGoogle Scholar22 REIDKENWAY WDFL: Electrocardiographic signs associated with low basal metabolism, Endocrinology, 1929, xiii, 191-204. CrossrefGoogle Scholar23 NOBELROSENBLÜTHSAMET EAB: Das Elektrokardiogramm des kindlichen Myxödems, Ztschr. f. d. ges. exper. Med., 1924, xliii, 332-341. CrossrefGoogle Scholar24 MEANS JH: Hypothyroid heart disease, N. E. Jr. Med., 1933, ccviii, 541-542. CrossrefGoogle Scholar25 Trans. Clin. Soc. London, Report of a Committee of the Clinical Society of London, nominated Dec. 19, 1883, to investigate the subject of myxedema; Supplement to Vol. 21, London, 1888. Google Scholar26 GOLDBERG SA: Changes in organs of thyroidectomized sheep and goats, Quart. Jr. Exper. Physiol., 1927, xvii, 15-30. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: J. LERMAN, M.D.; R. J. CLARK, M.D.; J. H. MEANS, M.D., F.A.C.P.Affiliations: Boston, Massachusetts*Received for publication October 22, 1932.†From the Thyroid Clinic and Metabolism Laboratory of the Massachusetts General Hospital. 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ESCAMILLA, M.D., H. LISSER, M.D., F.A.C.P., H. CLARE SHEPARDSON, M.D., F.A.C.P.Treatment of chronic heart disease by total ablation of the thyroid glandFURTHER OBSERVATIONS ON THE HEART IN MYXEDEMA*J. LERMAN, M.D., R. J. CLARK, M.D., J. H. MEANS, M.D., F.A.C.P.CHRONIC PERICARDIAL EFFUSION IN MYXEDEMA: REPORT OF CASE*E. B. FREEMAN, M.D., F.A.C.P. 1 April 1933Volume 6, Issue 10Page: 1251-1271KeywordsBlood pressureElectrocardiographyHeartHospitalsResearch laboratoriesThyroid ePublished: 1 December 2008 Issue Published: 1 April 1933 PDF downloadLoading ...