NORMAN H. BOYER, M.D.; ALEXANDER S. NADAS, M.D.
The immediate risk of pregnancy in women with rheumatic heart disease has been admirably surveyed by Hamilton and Thomson,1 but the ultimate effect of the circulatory load of repeated pregnancies and the hardships of motherhood upon a handicapped heart has not been subjected to the same thoroughgoing analysis. These authors expressed the opinion, based on clinical impression, that there was no strong evidence pointing toward an unfavorable late effect of pregnancy on the course of rheumatic heart disease. They had no statistical proof to offer, and, in fact, doubted that such proof could be obtained in a practical way. We
BOYER NH, NADAS AS. THE ULTIMATE EFFECT OF PREGNANCY ON RHEUMATIC HEART DISEASE1. Ann Intern Med. ;20:99–107. doi: 10.7326/0003-4819-20-1-99
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Published: Ann Intern Med. 1944;20(1):99-107.
Infectious Disease, Rheumatology, Streptococcal Infections.
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