Shows early onset and rapid progression of severe congestive heart failure from chronic cor pulmonale, indicating an unusually aggressive disease course.
The incidence of chronic cor pulmonale in Indian states, including Delhi, is the highest reported in nonindustrial populations. The patients presented as acute severe congestive heart failure and at younger ages than those reported. In many cases there was only a short history of respiratory symptoms. Following the first attack of failure, repeated attacks were the rule and death ensued within 2 years. A study is presented of 127 patients of this type in Delhi with clinical and laboratory data and autopsy data of 4 cases. The probable causes of these peculiar features are discussed.
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Padmavati et al. (1959) studied this question.
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