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PULMONARY INFARCTION COMPLICATING SEVERE DISEASE OF THE MITRAL VALVE

HARRY B. LEVINE, M.D.; PAUL D. WHITE, M.D.
Arch Intern Med (Chic). 1937;60(1):39-50. doi:10.1001/archinte.1937.00180010042003.
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An important and frequently fatal complication of severe mitral stenosis is pulmonary infarction, a complication at times difficult to diagnose and to a considerable degree neglected in medical writing. Though recognized for many years, the influence of this complication on the course of disease of the mitral valve, especially in the presence of marked congestive failure, is but little discussed in medical literature. Our attention has been recently attracted to its importance by 5 cases, 4 of the patients having been seen in the past year.

In our patients congestive heart failure, though mild at the onset, became progressively worse, and despite the therapeutic measures that were employed all 5 died within a comparatively short time. We do not think that this condition is rare, for 4 of our 5 patients were seen within a period of one year in one hospital, and we have recently encountered clinically several other

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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