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Neous atrial fibrillation in persons older than 60 years who had an undetectable serum TSH level.12 Using these data, investigators8 determined that over 10 years the number needed to treat to reduce the risk of spontaneous atrial fibrillation to that of the general population would be 4.2.8 However, data showing a decrease in the incidence of spontaneous atrial fibrillation or osteoporosis as a direct result of shifting serum TSH into the reference range are not available. There is some evidence that treated patients may benefit from less bone loss. When a low serum TSH concentration is caused by destructive thyroiditis, symptomatic treatment with agents such as beta blockers is sufficient because this condition resolves spontaneously.1 EvaluationofSubclinical Hypothyroidism.
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