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Capt Michael P. Stern, MC; Capt Robert L. Jacobs, MC; Capt Gary W. Duncan, MC

JAMA. 1970;212(12):2117-2119.

Abstract
Acute rheumatic fever and third-degree heart block developed in a 23-year-old man with hyperthyroidism. Although cardiac arrhythmias frequently complicate hyperthyroidism, third-degree heart block occurs only rarely in this disorder. Prolonged atrioventricular conduction has been noted in a significant number of hyperthyroid patients. Available information indicates that higher degrees of heart block may occur in hyperthyroidism when additional factors are present which can independently impair atrioventricular conduction.

Author Affiliations
USAF; USAF; USAF

From Malcolm Grow USAF Medical Center, Andrews Air Force Base, Washington, DC. Dr. Stern is now with the Veterans Administration Hospital, Palo Alto, Calif.

Footnotes
The views expressed herein are those of the authors and do not necessarily reflect the views of the US Air Force or the Department of Defense.

Reprint requests to 3801 Miranda Ave, Palo Alto, Calif 94304.

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