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ANESTHESIA FOR THYROCARDIAC PATIENTS

F. SISE, M.D.
JAMA. 1935;105(21):1662-1666. doi:10.1001/jama.1935.02760470016004.
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A thyrocardiac patient is one having thyroid toxicity and significant heart disease. For the purposes of making a study of the end results, significant heart disease has been taken to be (1) auricular fibrillation or flutter, or (2) congestive heart failure.1 Many most serious cases of heart disease, however, which might appear to be quite dangerous for the administration of an anesthetic, do not fall within this group. For this reason it has seemed best in studying the effect of anesthesia to include in this group not only the aforementioned heart conditions but also cases of coronary disease, angina pectoris, and the two most serious valvular lesions, mitral stenosis and aortic regurgitation. The question of diagnosis will not be considered. All diagnoses have been made by the medical department of the Lahey Clinic. No doubtful diagnoses have been considered, but when a definite diagnosis was made by the medical

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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