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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
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pubmed:dateCreated |
1988-11-17
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pubmed:abstractText |
Serum total thyroxine, triiodothyronine, and thyrotropin response to thyrotropin-releasing hormone (TRH-TSH test) were measured in 126 consecutive patients admitted with atrial fibrillation: 33 patients with an acute arterial limb embolism (Group I), 31 patients with an acute embolic stroke (Group II), and 62 patients without any arterial occlusion (Group III). A blunted TRH-TSH test, suggestive of thyrotoxicosis, was found in 5 patients in Group I, 8 patients in Group II, and 2 patients in Group III. The diagnosis of hyperthyroidism was confirmed in 8 patients (by repeated TRH-TSH test and scintigraphy): 4 patients in Group I (12.1%) and 4 patients in Group II (12.9%). All of them had a nonvalvular atrial fibrillation. Thyrotoxicosis should not be recognized in 6 of them if TRH-TSH test was not performed, because peripheral hormone levels were normal. Five of these 8 patients with thyrotoxicosis had reversion to sinus rhythm after treatment with carbimazole, either spontaneously or after cardioversion. This outcome prevented prolongation of anticoagulant therapy for an indefinite time.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0003-3197
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
39
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
981-5
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:3177963-Aged,
pubmed-meshheading:3177963-Aged, 80 and over,
pubmed-meshheading:3177963-Atrial Fibrillation,
pubmed-meshheading:3177963-Embolism,
pubmed-meshheading:3177963-Female,
pubmed-meshheading:3177963-Humans,
pubmed-meshheading:3177963-Intracranial Embolism and Thrombosis,
pubmed-meshheading:3177963-Male,
pubmed-meshheading:3177963-Thyroid Function Tests,
pubmed-meshheading:3177963-Thyrotoxicosis,
pubmed-meshheading:3177963-Thyrotropin
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pubmed:year |
1988
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pubmed:articleTitle |
Occult thyrotoxicosis in patients with atrial fibrillation and an acute arterial embolism.
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pubmed:affiliation |
Department of Medicine, Hospital de Badalona Germans Trias i Pujol, Facultad de Medicina, Universidad Autónoma de Barcelona, Spain.
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pubmed:publicationType |
Journal Article,
Comparative Study
|