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ARTICLE |

The Internist and Mitral Stenosis in Pregnancy

JAMES J. GABLE JR., MD; EDWARD R. MUNNELL, MD
Arch Intern Med. 1965;116(6):907-910. doi:10.1001/archinte.1965.03870060105022.
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The internist and obstetrician have usually managed the pregnant patient in heart failure as a result of mitral stenosis solely by medical measures. This has been based on the experiences and on the literature of the past and has not given proper consideration to the surgical correction of mitral stenosis. This case report exemplifies the problem the internist may encounter relative to the use and proper timing of mitral-valve surgery in the pregnant cardiac. Furthermore, it emphasizes that the surgical correction of mitral stenosis can be lifesaving, even in a moribund patient.

Report of Case  A 25 year old white female was first seen at Wesley Hospital in April of 1961 (Fig 1). Three days earlier she had experienced disabling shortness of breath, orthopnea, and dependent edema. The patient was five months pregnant and had had no prior difficulty.On the basis of four episodes of arthralgia between the ages

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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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