THYROIDISM COMPLICATED BY HEART FAILURE

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Abstract
The group of cases I am reporting comprises twenty-two individuals within a total of about 600 patients who have come to Dr. Lahey's clinic in the last three years because of thyroidism. In order that the small, more or less distinct, unit that this group forms within the whole mass of thyroidism cases may be clearly placed, it seems necessary to describe thyroidism cases in general. If one considers all the cases of thyroidism, one finds that, excluding the few instances in which some complicating affection masks the picture, the patients who are most ill fall naturally into two rather distinct classes. 1. The larger class shows aggravated toxic symptoms of thyroidism alone, without signs of heart failure. When such patients die, they apparently succumb to exhaustion; they do not at any time show the true signs of heart failure. Three such patients have come to the clinic in an

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