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December 1, 1949Annals of Internal Medicine

Coronary Occlusion and Myocardial Infarction Associated With Chronic Rheumatic Heart Disease

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Population

Patients with chronic rheumatic heart disease

Design

Other

Authors

PWP D WHITE

Discussion

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Implication

Supports consideration in ischemic RHD presentations; leaves open updated incidence in contemporary cohorts.

Key Points

  • To evaluate the incidence and clinical characteristics of coronary artery occlusion and myocardial infarction in patients with chronic rheumatic heart disease.
  • Reviewed clinical records and postmortem evaluations from historical cohorts of rheumatic heart disease.
  • Analyzed the prevalence of coronary thrombosis and occlusion across specific valvular cohorts, including pure aortic stenosis and simple mitral stenosis.
  • Coronary thrombosis was recorded in only 1 of 956 patients with rheumatic endocarditis.
  • Coronary occlusion was documented in 4 of 99 patients dying with pure aortic stenosis and diagnosed in 10 of 314 consecutive patients with simple mitral stenosis, with 5 confirmed at autopsy.

Structured PICO

P
Population
Patients with chronic rheumatic heart disease
O
Outcome
Coronary occlusion and myocardial infarctionhard clinical

Coronary occlusion and myocardial infarction are historically recognized as rare complications in patients with chronic rheumatic heart disease.

Cite This Study

P D WHITE (1949) studied this question.

synapsesocial.com/papers/6a7ebfe30652253f66c3036bhttps://doi.org/10.7326/0003-4819-31-6-1003
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Also Consider

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  1. 1CONCERNING THE CORRELATION OF THE PATHOLOGY AND SYMPTOMS OF CORONARY ARTERY DISEASE1940 · 1 citations
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  3. 3CORONARY ARTERY DISEASE AND ANGINA PECTORIS; THE PRESENT STATUS WITH A REVIEW OF SOME OF THE RECENT LITERATURE1938 · 7 citations
  4. 4ACUTE GUMMATOUS MYOCARDITIS SIMULATING ACUTE MYOCARDIAL INFARCTION1936 · 8 citations
  5. 5WHAT CAN BE ACCOMPLISHED IN THE TREATMENT OF HEART DISEASES1946