Special Cases- Cardiac Disease 14 Treatment should improve cholesterol, DBP, contractility Treatment should improve cholesterol, DBP, contractility Improves angina in some (38%), 46% have no change, 16% have increased sxs Improves angina in some (38%), 46% have no change, 16% have increased sxs No evidence of decr CV M&M with tx of hypothyroidism No evidence of decr CV M&M with tx of hypothyroidism Some evidence of increased CV M&M when initiating treatment Some evidence of increased CV M&M when initiating treatment Generally, start very slowly (25 mcg), consider extensive cardiac assessment, eg stress or angio, and possible medical tx and/or stenting or CABG Generally, start very slowly (25 mcg), consider extensive cardiac assessment, eg stress or angio, and possible medical tx and/or stenting or CABG
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