Population
Patients with congestive heart failure and patients with myxedema.
Design
Review
Authors
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Reduced flow velocity may explain symptoms only with normal metabolism; leaves open its diagnostic role in modern HF cohorts.
The adequacy of blood flow velocity depends on metabolic demands, explaining why slowed blood flow causes heart failure symptoms in normal metabolic states but not in myxedema.
Herrman L. Blumgart (1933) studied this question.
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