The clinical aspects of the circulation in myxedema have aroused widespread interest, but knowledge of the pathologic physiology of the blood flow in this condition is meagre. The present study undertakes the correlation of the clinical manifestations of myxedema with changes in the velocity of blood flow, basal metabolic rate, pulse rate, plasma volume, venous and arterial pressures, respiratory minute volume and vital capacity of the lungs. The same methods were employed as in the preceding study of thyrotoxicosis (1).
RESULTSSixteen series of measurements were made in seven consecutive patients with the classical clinical manifestations of spontaneously occurring myxedema (table 1). In each patient measurements made when the basal metabolic rate was low were compared with subsequent measurements when the basal metabolic rate had been elevated to normal by appropriate doses of desiccated thyroid gland by mouth. The clinical findings in the patients are summanrized in the appended abstracts. All subjects were women between the ages of 45 and 58 years, except subject E. Sa. who was 18 years old. The tendency of myxedema to occur predominantly in women is well recognized.Blood. "Secondary" anemia was observed on examination of the '