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ARTICLE |

HEART FAILURE IN SUBACUTE BACTERIAL ENDOCARDITIS

WILLIAM C. BUCHBINDER, M.D.; OTTO SAPHIR, M.D.
Arch Intern Med (Chic). 1939;64(2):336-347. doi:10.1001/archinte.1939.00190020122010.
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Heart failure is often regarded as one of the important negative features of subacute bacterial endocarditis. Attention has been repeatedly directed to the absence of myocardial insufficiency in the disease. In this respect subacute bacterial endocarditis has been contrasted with rheumatic carditis, in which heart failure may be prominent in the clinical picture and may exist in a chronic and advanced form. However, it is generally admitted that heart failure may make its appearance during the late stages of the disease. Toxemia, a prominent factor in subacute bacterial endocarditis, has commonly been considered causal.

A short outline of the literature concerning the role of heart failure in subacute bacterial endocarditis is given in this paper, and the opinions on the character and extent of the anatomic changes in the myocardium in this disease are discussed. Observations in 40 cases of subacute endocarditis are presented, with special attention to evidence of

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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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