Research Article

Arterial embolism in thyrotoxicosis with atrial fibrillation.

Br Med J 1977; 2 doi: http://dx.doi.org/10.1136/bmj.2.6088.688 (Published 10 September 1977) Cite this as: Br Med J 1977;2:688
  1. J S Staffurth,
  2. M C Gibberd,
  3. S N Fui

    Abstract

    In 262 patients with thyrotoxicosis and atrial fibrillation there were 26 episodes of arterial embolism (17 cerebral and nine elsewhere) in 21 patients. Twelve incidents occurred with active thyrotoxicosis, three on reversion to sinus rhythm, and 11 after the patients were euthyroid. This important complication is more common than is realised, and most patients should be put on prophylactic anticoagulants when first seen with atrial fibrillation.