THE COURSE OF MITRAL STENOSIS WITHOUT SURGERY: TEN- AND TWENTY-YEAR PERSPECTIVES
Authors: J C ROWE, E F BLAND, H B SPRAGUE, P D WHITE
Journal: Annals of Internal Medicine (1960)

Article1 April 1960THE COURSE OF MITRAL STENOSIS WITHOUT SURGERY: TEN- AND TWENTY-YEAR PERSPECTIVESJOHN C. ROWE, M.D., EDWARD F. BLAND, M.D., F.A.C.P., HOWARD B. SPRAGUE, M.D., F.A.C.P., PAUL D. WHITE, M.D., M.A.C.P.JOHN C. ROWE, M.D., EDWARD F. BLAND, M.D., F.A.C.P., HOWARD B. SPRAGUE, M.D., F.A.C.P., PAUL D. WHITE, M.D., M.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-52-4-741 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptA decade has elapsed since the introduction of a successful operation for mitral stenosis, and survival curves for this 10-year period are now available. Surprisingly little factual information is at hand, however, as to the comparable course in the presurgical era of those patients treated medically. To supplement the existing data in this respect, and to establish a helpful base line for future reference, we are reporting herewith 10- and 20-year perspectives on the course of mitral stenosis in patients studied in the cardiac clinics and private practice of the three senior authors at the Massachusetts General Hospital and the...Bibliography1. BlandJones EFTD: Rheumatic fever and rheumatic heart disease. A twenty year report on 1000 patients followed since childhood, Circulation 4: 836 (Dec.) 1951. CrossrefMedlineGoogle Scholar2. Grant RT: After-histories for ten years of a thousand men suffering from heart disease, Heart 6: 275-483 (June) 1933. Google Scholar3. Olesen KH: Mitral stenosis, a follow-up of 351 patients, 1955, Ejnar Munksgaard, Copenhagen. Google Scholar4. EllisAbelmanHarken LBWHDE: Selection of patients for mitral and aortic valvuloplasty, Circulation 15: 924, 1957. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication June 1, 1959.Presented at the Third World Congress of Cardiology, September, 1958, Brussels.From the Massachusetts General Hospital and the House of the Good Samaritan, Boston, Massachusetts.†Trainee of the National Heart Institute.Requests for reprints should be addressed to Edward F. Bland, M.D., Massachusetts General Hospital, Boston 14, Massachusetts. 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A Tissue Doppler Imaging StudyLevels of circulating adhesion molecules in rheumatic mitral stenosisThe clinical and diagnostic features of mitral valve diseaseValvulopatías mitralesPredictors of Cerebrovascular Events and Death Among Patients With Valvular Heart DiseaseComputed Tomography and Magnetic Resonance Imaging of Patients With Valvular Heart DiseaseClinical and echocardiographic predictors of left atrial clot and spontaneous echo contrast in patients with severe rheumatic mitral stenosis: a prospective study in 200 patients by transesophageal echocardiographyValvular Heart Disease: Mitral StenosisPlain-film evaluation of valvular heart diseaseACC/AHA guidelines for the management of patients with valvular heart diseaseCLINICAL ASSESSMENT AND MANAGEMENT OF MITRAL STENOSISBiochemical markers of coagulation activation in mitral stenosis, atrial fibrillation, and cardiomyopathyMitralstenoseStudying the ClassicsCoagulation activity is increased in the left atrium of patients with mitral stenosisCongestive Heart Failure as a Consequence of Valvular Heart DiseaseRelief of rheumatic mitral stenosis — when and how?Mitral valve diseaseMitral valve replacementInfluence of percutaneous mitral commissurotomy on left atrial spontaneous contrast of mitral stenosisBalloon valvuloplasty for mild mitral stenosisTiming of Surgery in Mitral and Aortic StenosisMitral Stenosis and Left Atrial MyxomaErworbene HerzklappenfehlerCase 19-1989Antithrombotic Therapy in Atrial FibrillationMitralstenoseAntithrombotic therapy for patients with cardiac diseaseReplyChronic Valvular Heart Disease: Timing of SurgeryAnticoagulation in Patients with Valvular Heart Disease, Atrial Fibrillation, or BothThe timing of surgery in mitral and aortic valve diseaseArterial Thromboembolism: Valvular Heart Disease and Prosthetic Heart ValvesUsefulness of anticoagulant therapy in the prevention of embolic complications of atrial fibrillationSerum and urinary enzyme activities in renal artery embolismAntithrombotic Therapy in Atrial FibrillationPrognosis in valvular heart diseaseKlappenerkrankungen; 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