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Atrial fibrillation and the thyroid
  1. PETER S C WONG
  1. F L LI SAW HEE
  1. GREGORY Y H LIP
  1. Registrar in Cardiology,
  2. Research Fellow in Cardiology,
  3. Consultant Cardiologist,
  4. University Department of Medicine and Department of Cardiology,
  5. City Hospital, Birmingham B18 7QH, UK;
  6. email: greg@chtmedicine.demon.co.uk

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Sir,—We read with interest in the editorial by Forfar1 that both clinical and subclinical hyperthyroidism are associated with the subsequent development of atrial fibrillation. The association of hypothyroidism with atrial fibrillation is less recognised.2 ,3 For example, the Canadian Registry of Atrial Fibrillation Investigators4reported that 1.5% of 726 patients with atrial fibrillation had hypothyroidism over a period of 1.7 years. However, Tajiri et al reported that up to 8% of the 75 elderly patients with atrial fibrillation (mean age 75.6 years) studied were found to be hypothyroid, following a thyrotropin releasing …

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