JOHN W. ELY
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To the editor: In his paper "Aortic Insufficiency in Bacterial Endocarditis" (Ann Intern Med 76:23-28, 1972) Dr. Griffin provides no evidence to support his conclusion that "patients who develop heart failure that is not easily controlled are candidates for immediate aortic valve replacement. . . ." In his retrospective study Dr. Griffin reports that 88% (7/8) of such patients who receive only medical management die of their disease, whereas the mortality rate for the same type of patient (those with severe heart failure) who receive surgical corrective therapy is only 20% (1/5). He admits that "surgery is usually delayed for
ELY JW. Magic Wand for Aortic Insufficiency?. Ann Intern Med. ;77:328–329. doi: 10.7326/0003-4819-77-2-328_2
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Published: Ann Intern Med. 1972;77(2):328-329.
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