Publications by authors named "A Certo"
Serum thyrotropin (TSH) receptor antibodies (TRAbs) are occasionally found in patients with amiodarone-induced thyrotoxicosis (AIT), and usually point to a diagnosis of type 1 AIT (AIT1) due to Graves' disease (GD). However, the TRAb role and function in AIT have not been clarified. A retrospective cohort study of 309 AIT patients followed at a single academic center over a 30-year period.
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- - Patients with amiodarone-induced thyrotoxicosis (AIT) and low left ventricular ejection fraction (LVEF) face high mortality rates, which may be mitigated by total thyroidectomy, but the timing of surgery remains unclear.
- - A study of 64 patients revealed that those with low LVEF who had surgery after becoming euthyroid had significantly higher mortality rates compared to those who were still thyrotoxic at the time of surgery (40% versus 0% peritreatment mortality).
- - Factors like age and duration of thyrotoxicosis are significant predictors of mortality, whereas the timing of surgery (whether during thyrotoxicosis or after) appears to have a
Purpose: Previously in 1987, a 21-year-old male was diagnosed with primary hyperparathyroidism (PHPT) when a right inferior parathyroid adenoma was removed. PHPT recurred after 3 and 6 years and on both occasions was cured by resection of parathyroid adenomas. At 52 years of age, the patient developed a late-onset hypoparathyroidism (HP), even though postsurgical HP typically occurs as a transient or permanent form soon after neck surgery.
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- A study was conducted to evaluate the effectiveness of total thyroidectomy versus medical therapy in patients with amiodarone-induced thyrotoxicosis (AIT), focusing on survival and heart function over 20 years.
- The results indicated that patients who underwent total thyroidectomy had lower overall and cardiac-specific mortality rates compared to those receiving medical therapy, particularly among those with severe heart dysfunction.
- The research suggests that total thyroidectomy may be the better option for AIT patients with significant heart issues, while its benefits are less clear for individuals with mild heart conditions.
Article Synopsis
- The text discusses various research studies focusing on health topics, including health literacy in adolescents and the impact of walking programs on individuals with schizophrenia.
- It also covers innovative medical practices, safety culture in patient care, and the psychological effects experienced by emergency crews after disasters.
- Additionally, it highlights issues such as musculoskeletal disorders in midwives, negative childhood experiences affecting adolescent mental health, and studies on vaccination timing and assessments in elderly care.