[Subclinical Hyperthyroidism--What is Expected of the General Physician?].
Subclinical hypothyroidism is usually diagnosed during a routine examination. The results of recent studies reveal it to be a significant disease that is associated with a negative impact on myocardial function, an increased incidence of atrial fibrillation in the elderly patient, a loss of bony substance in post-menopausal women, and, possibly, an increased incidence of dementia in the elderly. Associated with this pathology is also a significant increase in the 10-year mortality rate. All this points to an urgent need to determine the underlying cause of sub-clinical hypothyroidism and to treat the condition in thesame way as manifest hyperthyroidism.
Medizinische Klinik-Innenstadt der Universität München. roland.gaertner@med.uni-muenchen.de
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D000236:Adenoma / Q000175:diagnosis; D000328:Adult; D000368:Aged; D013956:Antithyroid Agents / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000209:etiology; D006332:Cardiomegaly / Q000209:etiology; D003704:Dementia / Q000209:etiology; D003937:Diagnosis, Differential; D005194:Family Practice; D005260:Female; D006042:Goiter / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D006980:Hyperthyroidism / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000401:mortality / Q000532:radiotherapy / Q000601:surgery / Q000628:therapy*; D007455:Iodine / Q000172:deficiency; D008297:Male; D008875:Middle Aged; D015663:Osteoporosis, Postmenopausal / Q000209:etiology; D011877:Radionuclide Imaging; D012307:Risk Factors; D013964:Thyroid Neoplasms / Q000175:diagnosis; D013965:Thyroidectomy; D013972:Thyrotropin / Q000097:blood; D014463:Ultrasonography
D013956:Antithyroid Agents; D013972:Thyrotropin; D007455:Iodine