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Total 25 results found since Jan 2013.

A Treacherous Twist on ECG
The patient is a 61-year-old female with a history of well-controlled hypothyroidism on levothyroxine supplementation and prior suspected cardioembolic stroke on chronic anticoagulation who previously underwent surgical mitral valve repair 1 year previously due to symptoms of severe fatigue with a baseline left ventricular ejection fraction of 55-60% and non-obstructive coronary artery disease. Immediately following surgery, her left ventricular ejection fraction declined to 40%. Postoperatively, she continued to experience fatigue with gradual worsening of her left ventricular ejection fraction to 30%.
Source: The American Journal of Medicine - October 26, 2021 Category: General Medicine Authors: Tyler J. Bonkowski, Christopher M. Madison, Sanjay Dandamudi, David A. McNamara Tags: ECG Image of the Month Source Type: research

Management of Hypothyroidism in Patients with Acute Myocardial Infarction.
Conclusion: A history of hypothyroidism and the degree of TSH elevation seem to guide the management of hypothyroidism in patients with AMI. The clinical effect of correcting hypothyroidism in this setting requires further evaluation. PMID: 32353935 [PubMed - in process]
Source: Medicina (Kaunas) - April 27, 2020 Category: Universities & Medical Training Authors: Eagan D, Spencer-Bonilla G, Maraka S, Aggarwal M, Singh Ospina N Tags: Medicina (Kaunas) Source Type: research

Bilateral thalamic and mesencephalic infarctions with hypopituitarism as long-term complications postradiotherapy: A case report
Conclusion: To our knowledge, this is the first report of bilateral thalamic and mesencephalic infarction together with hypopituitarism following radiotherapy for NPC.
Source: Medicine - August 1, 2018 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Prehospital Assessment for Stroke Isn ’t Perfect
Prehospital assessment tools for neurological deficits aren’t perfect An approximately 30-year-old male answers the door to let you and your partner into the house you’ve been called to. Hank introduces himself and thanks you for coming, quickly adding that he’s concerned about his mother who’s “acting weird.” Hank tells you he stopped by his mom’s house for lunch and found her using paper plates to heat food on the stove. He stopped her before the plate ignited. His mother seemed confused and so he called 9-1-1. Patient Assessment Margaret, Hank’s 53-year-old mother, appears to be in good healt...
Source: JEMS Patient Care - May 1, 2018 Category: Emergency Medicine Authors: Dennis Edgerly, EMT-P Tags: Patient Care Cardiac & Resuscitation Columns Source Type: news

Effects of short ‐term levothyroxine therapy on myocardial injuries in patients with severe overt hypothyroidism: Evidence from a cardiac MRI Study
ConclusionWe suggest that the negative effect induced by severe overt HT on the cardiovascular system can be significantly improved by restoring euthyroidism with short‐term levothyroxine therapy.Level of Evidence: 1J. Magn. Reson. Imaging 2017.
Source: Journal of Magnetic Resonance Imaging - March 21, 2017 Category: Radiology Authors: Xia Gao, Zhe Chen, Min Liu, Yu ‐Mei Jia, Ning Yang, Zhi Yao, Xiao‐Meng Feng, Yuan Xu, Guang Wang Tags: Original Research Source Type: research

Abstract P2-01-23: Long-term follow-up of persistent breast dermopigmentation after sentinel lymph node identification using superparamagnetic iron oxide particles (SIENNA+(R))
Patients with breast cancer (BC) and those at high risk for BC are often reluctant to initiate Tamoxifen (Tam) due to potential adverse events (AEs) such as deep vein thrombosis (DVT), pulmonary embolus (PE), acute ischemic stroke (AIS), myocardial infarction (MI) and endometrial cancer (EC). Some decline this life saving therapy due to fear of AEs. AE rates from RCTs are low, but AE rates in the general population are not well documented.Methods: The MarketScanR database (2010-2013) was searched for patients aged 30-64 with a prescription of Tam active for more than 120 days. Patients with prior DVT, PE, AIS, MI or EC wer...
Source: Cancer Research - February 13, 2017 Category: Cancer & Oncology Authors: K Hannebicque, L Boulanger, E Bogart, S Giard, MP Chauvet, JL Houpeau Tags: Poster Session Abstracts Source Type: research

High Risk for CHD and Stroke in Patients With Thyroid Cancer High Risk for CHD and Stroke in Patients With Thyroid Cancer
Undergoing total thyroidectomy and high doses of levothyroxine were associated with a higher risk for coronary heart disease and ischemic stroke.Medscape Medical News
Source: Medscape Medical News Headlines - February 3, 2017 Category: Consumer Health News Tags: Hematology-Oncology News Source Type: news

Long-term Outcome in Levothyroxine Treated Patients with Subclinical Hypothyroidism and Concomitant Heart Disease.
CONCLUSION: Levothyroxine treatment in patients with subclinical hypothyroidism and heart disease was not associated with a significant benefit nor risk of all-cause mortality, MACE or hospital admission in this large real-world cohort study. PMID: 27571183 [PubMed - as supplied by publisher]
Source: The Journal of Clinical Endocrinology and Metabolism - August 28, 2016 Category: Endocrinology Authors: Andersen MN, Olsen AS, Madsen JC, Kristensen SL, Faber J, Torp-Pedersen C, Gislason GH, Selmer C Tags: J Clin Endocrinol Metab Source Type: research

Clinical Reasoning: An unusual case of blurry vision in a young woman after ovarian induction
A 38-year-old woman presented to our emergency department with blurry vision and headache. She developed her symptoms insidiously 8 days into ovarian induction for in vitro fertilization (IVF), consisting of recombinant follicular stimulating hormone, gonadotropin, and a gonadotropin-releasing hormone antagonist. The headache was mild, constant, diffuse, nonpositional, and minimally alleviated with ibuprofen. She described binocular difficulty "focusing her vision" but denied a field cut or diplopia. A community ophthalmologist reported a normal dilated funduscopic examination but noted a subtle right homonymous hemianopia...
Source: Neurology - July 31, 2016 Category: Neurology Authors: Parikh, N. S., Khazanova, D., Moya, A., Kaunzner, U. W., Allen, B. B., Navi, B. B. Tags: Stroke in young adults, Visual fields, All Cerebrovascular disease/Stroke, Embolism, Infarction RESIDENT AND FELLOW SECTION Source Type: research