N. O. Fowler, M.D., F.A.C.P.; M. Gueron, M.D.; D. T. Rowlands Jr., M.D.
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This study describes 19 patients with congestive heart failure without clinical or pathologic evidence of a primary cause. Eighteen patients were autopsied; one had left ventricular biopsy at thoracotomy. Their ages were from 18 months to 68 years at death. Seven patients had heart failure for five years or more; three had heart failure for over 10 years. Seven patients were alcoholic and three had nutritional cirrhosis. Transient mitral or tricuspid systolic murmurs and apical protodiastolic gallop rhythm were common. Atrial fibrillation was present in seven patients. The electrocardiograms revealed abnormal left axis deviation in five and left bundle branch
Fowler NO, Gueron M, Rowlands DT. Primary Myocardial Disease.. Ann Intern Med. ;54:1033. doi: 10.7326/0003-4819-54-5-1033_2
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Published: Ann Intern Med. 1961;54(5):1033.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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