DISABILITY TWO TO FIVE YEARS AFTER MITRAL COMMISSUROTOMY: AN EVALUATION BY CLINICAL CRITERIA AND EXERCISE TOLERANCE
Authors: G A LOGAN, R A BRUCE, G G BERGY, K A MERENDINO
Journal: Annals of Internal Medicine (1957)

Article1 August 1957DISABILITY TWO TO FIVE YEARS AFTER MITRAL COMMISSUROTOMY: AN EVALUATION BY CLINICAL CRITERIA AND EXERCISE TOLERANCEGORDON A. LOGAN, M.D., ROBERT A. BRUCE, M.D., F.A.C.P., GORDON G. BERGY, M.D., K. ALVIN MERENDINO, M.D.GORDON A. LOGAN, M.D.Search for more papers by this author, ROBERT A. BRUCE, M.D., F.A.C.P.Search for more papers by this author, GORDON G. BERGY, M.D.Search for more papers by this author, K. ALVIN MERENDINO, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-47-2-248 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptMitral commissurotomy has been advocated by many for relief of disabling mitral stenosis in properly selected patients. Since this lesion is only one of the pathologic features responsible for the cardiac disability, it is important to evaluate as objectively as possible the benefits derived from surgery.In the broadest interpretation there are two important results to evaluate: prolongation of longevity, and reduction in degree and duration of disability. Prolongation of life cannot be clearly evaluated until all patients have been followed up to the time of death. Comparative analysis of the symptoms of disability is limited by the highly subjective...Bibliography1. BruceMerendinoPampushBergyBroch RAKAJJGGLL: Functional evaluation of mitral valvulotomy, Am. J. Med. 20: 745, 1956. CrossrefMedlineGoogle Scholar2. LevineHarvey SAWP: Clinical auscultation of the heart, 1950, W. B. Saunders Company, Philadelphia, pp. 145-148. Google Scholar3. Bruce RA: Evaluation of functional capacity and exercise tolerance of cardiac patients, Mod. Concepts Cardiovas. Dis. 25: 321, 1956. MedlineGoogle Scholar4. 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Grant RT: After histories for ten years of a thousand men suffering from heart disease. A study in prognosis, Heart 16: 275, 1933. Google Scholar11. Olesen KH: Mitral stenosis. A follow-up of 351 patients, 1955, Einar Munksgaard's Forlag, Copenhagen. Google Scholar12. HarkenEllisDexterFarrandDickson DELBLREJF: The responsibility of the physician in the selection of patients with mitral stenosis for surgical treatment, Circulation 5: 349, 1952. CrossrefMedlineGoogle Scholar13. BruceFullerAndrusWiederhielm RATJWWCA: Unpublished data, 1957. Google Scholar14. WelchBruceBridgesJohnsonLehmannNeilsen GERAWCADJHM: Comparison of a new step test with a treadmill test for the evaluation of cardiorespiratory working capacity, Am. J. M. Sc. 223: 607, 1952. CrossrefMedlineGoogle Scholar15. BruceMerendinoDunningScribnerDonohueCarlsenCummins RAKAMFBADERJ: Observations on hyponatremia following mitral valve surgery, Surg., Gynec. and Obst. 100: 293, 1955. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Seattle, Washington*Presented at the Thirty-eighth Annual Session of The American College of Physicians, Boston, Massachusetts, April 9, 1957.From the University of Washington School of Medicine, Seattle, Washington.These studies have been supported in part by Grants-in-Aid (H908C) from the National Heart Institute of the National Institutes of Health, Department of Health, Education and Welfare.†Trainee of the National Heart Institute, 1954-1955.Requests for reprints should be addressed to Gordon A. Logan, M.D., Clinical Associate in Medicine, University of Washington School of Medicine, Seattle, Washington. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byREFERENCESKörperliche Leistungsfähigkeit und Totalhämoglobin vor und nach operativer Behandlung von Mitralfehlern und ShuntvitienEvaluation of Cardiac Function in Clinical PracticeProgress in cardiac surgery: General survey-indications for surgery, surgical risk and results 1 August 1957Volume 47, Issue 2Page: 248-262KeywordsCardiac surgeryDisabilitiesExerciseHeartLesionsLongitudinal studiesMitral stenosisPatient advocacyStenosis ePublished: 1 December 2008 Issue Published: 1 August 1957 PDF downloadLoading ...