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(Circulation. 1955;11:531.)
© 1955 American Heart Association, Inc.

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Mechanical and Myocardial Factors in Rheumatic Heart Disease with Mitral Stenosis

RÉJANE M. HARVEY M.D.¹; M. IRENÉ FERRER M.D.¹; PHILIP SAMET M.D.¹; RICHARD A. BADER M.D.¹; MORTIMER E. BADER M.D.¹; ANDRÉ COURNAND M.D.¹; DICKINSON W. RICHARDS M.D.¹

¹ From the Department of Medicine, Columbia University, College of Physicians and Surgeons, and the Cardiopulmonary Laboratory of the First Medical and Chest Services (Columbia University Division), Bellevue Hospital, New York, N. Y.

Sixteen patients with rheumatic heart disease and pure mitral stenosis, studied by cardiac catheterization, are presented to illustrate the relative importance of mitral block and myocardial insufficiency in this disease. Analysis of hemodynamic data permitted a separation of those patients with predominantly mechanical mitral block from those in whom myocardial insufficiency appeared to be the predominant lesion. The importance of recognizing the existence of the latter group is emphasized, since commissurotomy will not be of benefit in such cases.

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