ANGINA PECTORIS AND THYROTOXICOSIS

Abstract

24 instances (18 men and 6 women) are reported of thyrotoxicosis associated with angina pectoris. In most instances, thyrotoxicosis had been overlooked. 13 of 15 patients subjected to subtotal thyroidectomy and 4 of 5 treated with thiouracil were improved. Of the cases studied, 2 had normal basal metabolisms, 15 had normal blood pressures, and all had heart rates above normal. Only 7 of 22 had normal ecgs. 11 of 23 showed X-ray evidence of cardiac enlargement. The prognosis of angina of decubitus with thyrotoxicosis is better than that associated with coronary artery disease.