We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

The Internist and Mitral Stenosis in Pregnancy

Arch Intern Med. 1965;116(6):907-910. doi:10.1001/archinte.1965.03870060105022.
Text Size: A A A
Published online


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


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
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.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.