JAMES S. BORGES, M.D.; RICHARD B. ROBERTS, M.D., F.A.C.P.; WARREN D. JOHNSON, M.D., F.A.C.P.
Griffin, Jones, and Cobbs (Ann Intern Med 76:23-28, 1972) report a 74% mortality rate in patients with bacterial endocarditis, aortic valve insufficiency, and heart failure who received only medical therapy (1). The patients were divided into three groups: Group 1, no heart failure; group 2, mild heart failure (controlled by digitalis alone); and group 3, moderate to severe heart failure (requiring digitalis and diuretic therapy). Seven of eight patients with moderate or severe heart failure treated medically died, whereas only one of five with severe heart failure who had aortic valve replacement died. Their conclusion that patients with severe heart
BORGES JS, ROBERTS RB, JOHNSON WD. Bacterial Endocarditis: Valve Replacement in Aortic Insufficiency. Ann Intern Med. ;79:757. doi: 10.7326/0003-4819-79-5-757
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Published: Ann Intern Med. 1973;79(5):757.
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